What condition would contraindicate examination of the pharynx?
Peritonsillar abscess
Acute epiglottitis
Uvulitis
Bacterial tracheitis
The Correct Answer is B
Rationale:
A. Peritonsillar abscess may be evaluated with careful oral examination, though manipulation can be uncomfortable.
B. Acute epiglottitis is a medical emergency in which examination of the pharynx can precipitate complete airway obstruction. Therefore, direct visualization of the throat should be avoided, and airway management is the priority.
C. Uvulitis can be examined carefully; it is not an absolute contraindication.
D. Bacterial tracheitis affects the lower airway and does not specifically contraindicate pharyngeal examination, though caution is advised if airway compromise is present.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. St. John’s wort is not recommended during pregnancy due to limited safety data and potential drug interactions.
B. SNRIs may be considered in adults but have less safety data in pregnancy compared with SSRIs.
C. Selective serotonin reuptake inhibitors (SSRIs) are first-line pharmacologic therapy for depression during pregnancy when nonpharmacologic measures are insufficient. SSRIs like sertraline or fluoxetine have the most safety data for use in pregnant adolescents.
D. Tricyclic antidepressants (TCAs) are generally reserved for cases unresponsive to SSRIs due to more adverse effects and risk of cardiotoxicity.
Correct Answer is C
Explanation
Rationale:
A. Poisoning is a common unintentional injury in preschool-aged children and a significant cause of morbidity and mortality.
B. Drowning is a leading cause of death in this age group and considered an unintentional injury.
C. Physical abuse is not classified as an unintentional injury; it is intentional and a form of child maltreatment.
D. Motor vehicle crashes, including pedestrian and passenger injuries, are among the leading causes of death in preschool-aged children.
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