The nurse is caring for a client with recurrent bacterial pharyngitis. Which is the nurse's highest priority intervention?
a. Assess for symptoms of human immune deficiency virus (HIV).
b. Ask about exposure to allergens.
c. Perform nasal cultures.
d. Teach the client about antibiotic therapy.
D
Management of bacterial pharyngitis involves the use of antibiotics and the same supportive care provided for viral pharyngitis. Stress the importance of completing the entire antibiotic prescrip-tion, even when symptoms improve or subside. Failure to take all prescribed antibiotics is often the cause of recurrent infections. Although it is important for overall health that the client know his or her HIV status, it is not the highest priority intervention in the treatment plan. Allergens do not cause bacterial infections. Nasal cultures would not be a high priority unless the client had "failed" treatment with more than one antibiotic and was compliant with treatment.
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