What should the nurse include when teaching school-age children about nasopharyngitis?

Aspirin should be taken for fever.

Antibiotics should be taken for 10 days.

Vaccinations need to be administered yearly to prevent illness.

Proper handwashing can prevent the spread of the infection.

Answer and Explanation

The Correct Answer is D

A.   Aspirin is not recommended for children due to the risk of Reye's syndrome, a serious condition that can occur when aspirin is given to children recovering from viral infections. Instead, acetaminophen or ibuprofen is preferred for fever management in children. Therefore, this option is not appropriate.
B.   Nasopharyngitis is typically caused by viral infections, and antibiotics are ineffective against viruses. Antibiotics may be prescribed if a bacterial infection is diagnosed, but this is not the standard treatment for nasopharyngitis.
C.   While vaccinations are crucial for preventing certain illnesses, there is no specific vaccine for nasopharyngitis, which is caused by various viruses. However, vaccinations for other respiratory illnesses (like influenza) can help reduce the risk of complications. This statement may cause confusion since it implies a direct preventive measure for nasopharyngitis itself.
D.   Teaching children about proper hand hygiene is essential, as handwashing can significantly reduce the transmission of viruses that cause nasopharyngitis and other infections.

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Correct Answer is C

Explanation

A. This is the mechanism of action of angiotensin-converting enzyme (ACE) inhibitors, not calcium channel blockers. ACE inhibitors work by preventing the formation of angiotensin II, a hormone that causes blood vessels to constrict.
B. Calcium channel blockers do not directly affect angiotensin.
C. This is the correct mechanism of action of calcium channel blockers. By blocking the influx of calcium ions into smooth muscle cells, these medications cause the blood vessels to relax and dilate, lowering blood pressure.
D. Calcium channel blockers work by relaxing the smooth muscle of the blood vessels, which decreases their ability to contract and cause vasoconstriction.

A. A red throat and fever. B. Pain over the sinus area and purulent nasal drainage. C. Foul smelling breath and noisy respirations. D. Weak cough and high-pitched noise on respiration.

Correct Answer is A

Explanation

A. This is a classic manifestation of acute pharyngitis, which is often caused by viral or bacterial infections. A red or inflamed throat (erythema) and fever are common symptoms due to the inflammatory response to infection. This choice aligns well with the expected findings in a patient with acute pharyngitis.
B. This description is more indicative of sinusitis rather than acute pharyngitis. While a person with acute pharyngitis may have some upper respiratory symptoms, significant sinus pain and purulent nasal discharge are not typical manifestations of pharyngitis itself.
C. Foul-smelling breath (halitosis) can occur in cases of certain infections, but it’s more characteristic of conditions such as tonsillitis or abscesses in the throat rather than typical acute pharyngitis. Noisy respirations may suggest airway obstruction or other complications that are not primary symptoms of pharyngitis.
D. A weak cough and high-pitched noise (stridor) during respiration are more indicative of upper airway obstruction or croup rather than acute pharyngitis. These symptoms suggest a more severe respiratory condition that involves airway narrowing.

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What should the nurse include when teaching school-age children about nasopharyngitis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

A patient is diagnosed with acute pharyngitis. Which clinical manifestation would the nurse expect to see in this client?

Correct Answer is A

Explanation

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