The nurse is examining a child. The child's pharynx is reddened, with yellow exudate noted on each tonsil. The tongue is red with enlarged taste buds. Petechiae are visualized on the child's soft palate near the uvula
Which of the following physician orders is most important and appropriate for this child? 1. Saline mouth rinses
2. Throat culture
3. Dental referral
4. Aspirin for pain
2
Rationale 1: Saline mouth rinses may help with the client's discomfort but is not the most important intervention. This child needs to be started on the appropriate antibiotic if the child has strep throat.
Rationale 2: Strep throat infection, caused by group A beta-hemolytic Streptococcus pyogenes, may cause yellow tonsillar exudates, erythematous and edematous pharynx, red tongue with prominent taste buds (strawberry tongue), and petechial hemorrhages on the soft palate near the uvula.
Rationale 3: A dental referral is inappropriate. This child needs to be started on the appropriate antibiotic if the child has strep throat.
Rationale 4: Aspirin for pain is inappropriate because it can result in Reye's syndrome when taken by children.
You might also like to view...
The following is the frequency distribution for a set of data. What is the set's mode? X f 5 1 4 0 3 2 2 3 1 1
a. 5 b. 4 c. 3 d. 1
The nurse is assessing parental knowledge of temper tantrums. Which are true statements about temper tantrums? Select all that apply
a. Temper tantrums are a common response to anger and frustration in toddlers. b. Temper tantrums often include screaming, kicking, throwing things, and head banging. c. Parents can effectively manage temper tantrums by giving in to the child's demands. d. Children having temper tantrums should be safely isolated and ignored. e. Parents can learn to anticipate times when tantrums are more likely to occur.
The nurse is caring for a patient with bacterial pneumonia. Which classifications of medications should the nurse expect to be prescribed for this patient?
Select all that apply. 1. antibiotics 2. steroids 3. bronchodilators 4. antiemetics 5. antihistamines
A public health nurse is working with a migrant farm worker who has experienced an exposure to a pesticide. When researching pesticides, the nurse looks at the "family" of the chemical
What similarities are found among chemicals that have been placed in the same family? a. Route of entry into the body b. Actions and associated risks c. Effects that they have on the body d. Potency and toxicity