A patient complains of a severe sore throat, fever, and difficulty swallowing due to severe pain. A rapid strep test is performed which reveals group A streptococci. The nurse should assess the patient for:
A) Nuchal rigidity
B) Electrolyte imbalance
C) Lethargy
D) Pneumonia
Ans: B
Feedback: A sore throat due to group A streptococci can be so sore that liquids cannot be taken in adequate amounts by mouth. Thus the nurse must assess the patient for fluid and electrolyte imbalance. Nuchal rigidity is a potential complication of sinusitis. Lethargy is associated with infection but not significant in the assessment of swallowing. The signs and symptoms of pneumonia are not presented in this question.
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