It is important for a patient with acute streptococcal pharyngitis be treated with antibiotics to prevent which disease process?

Infectious mononucleosis

Rheumatic fever

Pneumonia

Nasopharyngitis

Answer and Explanation

The Correct Answer is B

A.   Infectious mononucleosis is caused by the Epstein-Barr virus, not by streptococcal bacteria. Therefore, antibiotics for streptococcal pharyngitis would not prevent this illness.
B.   Rheumatic fever is a serious complication that can occur after an untreated streptococcal infection. It can affect the heart, joints, and nervous system. Treating streptococcal pharyngitis with antibiotics effectively reduces the risk of developing rheumatic fever.
C.   While streptococcal bacteria can cause pneumonia, the primary concern with acute streptococcal pharyngitis is rheumatic fever. Pneumonia can be a complication, but it is not the most critical disease to prevent with antibiotics in this context.
D.   Nasopharyngitis, often referred to as the common cold, is typically caused by viruses. Antibiotics would not prevent this condition, as it is not related to streptococcal infections.

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Correct Answer is ["A","D","E"]

Explanation

A. It is important to place a surgical mask on the patient when transporting them to minimize the risk of spreading TB droplets in the environment. This practice helps reduce transmission during transport.
B. TB is primarily transmitted via airborne particles, not droplets. Therefore, patients with active TB should be placed on airborne precautions, not droplet precautions. Airborne precautions include the use of specialized masks and a negative airflow room to prevent the spread of infectious aerosols.
C. While a surgical mask is not adequate for protecting healthcare workers from TB, they should wear a fitted N95 respirator or a powered air-purifying respirator (PAPR) when providing care to a patient with active TB. A surgical mask does not filter out the small particles that can carry TB bacteria.
D. Patients with active TB should be placed in a private room that has negative pressure ventilation. This design helps prevent airborne TB particles from escaping into other areas of the healthcare facility, protecting other patients and staff.
E. Eye protection is recommended when collecting sputum samples from a patient with active TB, as it helps protect against potential splashes of respiratory secretions that may contain infectious droplets. This is particularly important during procedures that may aerosolize the bacteria.

A. Anemia B. Glaucoma C. Kidney disease D. Cataracts

Correct Answer is C

Explanation

A. Anemia itself is not typically a direct cause of secondary hypertension. While severe anemia can sometimes lead to changes in blood pressure, it is not recognized as a common or identifiable cause of secondary hypertension. Therefore, this option is not the best answer.
B. Glaucoma primarily affects eye health and is characterized by increased intraocular pressure. While there is some association between systemic hypertension and glaucoma, glaucoma is not considered a direct cause of secondary hypertension. It’s more of a complication that can occur in patients with high blood pressure rather than a cause of it.
C. Kidney disease is one of the most common and significant causes of secondary hypertension. Conditions such as chronic kidney disease or renal artery stenosis can lead to increased blood pressure due to fluid retention and changes in hormonal regulation (like the renin-angiotensin-aldosterone system). Therefore, this option is a highly identifiable cause of secondary hypertension.
D. Cataracts involve the clouding of the lens of the eye and are typically related to aging and other factors such as diabetes. While cataracts can be associated with systemic diseases like diabetes and hypertension, they are not considered a direct cause of secondary hypertension.

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It is important for a patient with acute streptococcal pharyngitis be treated with antibiotics to prevent which disease process?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which interventions does the nurse implement when providing care for a patient who is admitted for the treatment of active tuberculosis? (Select All that Apply.)

Correct Answer is ["A","D","E"]

Explanation

A client is admitted to the hospital with a long history of hypertension. The nurse should assess the client for which identifiable cause of secondary hypertension?

Correct Answer is C

Explanation

A nurse is monitoring a child for manifestations of hemorrhage following a tonsillectomy. Which of the following findings is a manifestation of this postoperative complication?

In administering a calcium channel blocker to a patient diagnosed with primary hypertension, the nurse understands this is due to which mechanism of action of this medication?

A nurse is instructing a client who is newly diagnosed with pulmonary tuberculosis (TB) about the use of antitubercular medications. Which of th following information should the nurse include in the teaching?

The physician orders a unit of packed red blood cells (PRBC) to infuse in 2 hours. The unit contains 250 mL. The blood tubing administration set has a drop factor of 10 gtt/mL. The flow rate for the infusion of packed red blood cell is gtt/min. (Round to the nearest drop)

Which principle(s) would be included when teaching a patient to use a steroid inhaler? (Select All that Apply.)

In providing teaching for a patient recently diagnosed with an active tuberculosis (TB) infection, the nurse incorporates teaching about which medications? (Select All that Apply.)

Which physical assessment(s) would be pertinent to the patient with asthma? (Select All that Apply.)