The nurse is admitting a patient to the adolescent unit. During the history and physical, the nurse records the following symptoms: abrupt onset, tonsillar exudate, painful cervical lymphadenopathy, anorexia, nausea, vomiting, abdominal pain, severe
sore throat, headache, malaise, fever, and petechial mottling of soft palate. The nurse suspects the patient has which of the following? 1. Viral pharyngitis
2. Tonsillitis
3. Pharyngitis caused by group A beta-hemolytic streptococcus
4. Adenoiditis
3
Rationale:
1. Viral pharyngitis might have some of the symptoms but does not have petechial mottling of the soft palate.
2. Tonsillitis will have some of the symptoms but will not have petechial mottling of the soft palate, painful cervical lymphadenopathy, or severe sore throat.
3. Strep throat will have all of the above symptoms.
4. The adenoids are lymphatic tissue located on the posterior pharyngeal wall, and are sometime called the pharyngeal tonsils. They can manifest with acute or chronic infection.
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