The nurse is discussing common illnesses experienced in childhood with staff members of a daycare. Appropriate learning has taken place when which of the following statements is made?
1. "Even though the child may have a fever and a sore throat, antibiotics may not be necessary.".
2. "Since the provider may not know for sure if the pharyngitis is caused by streptococcus or not, antibiotics should be prescribed.".
3. "The child diagnosed with pharyngitis cannot return to school until the antibiotics are completed.".
4. "Since pharyngitis is not usually caused by bacteria, I do not have to be concerned with getting it.".
"Even though the child may have a fever and a sore throat, antibiotics may not be necessary.".
Rationale: Antibiotics are only necessary for pharyngitis if caused by bacteria such as streptococcus. This is known through a rapid strep test and/or a throat culture. If it is bacterial in origin, the child can return to school when he or she has been on antibiotics for a full 24 hours. Pharyngitis should be considered contagious, as it is the direct result of an upper respiratory infection such as a cold or influenza.
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