A school-age child is diagnosed with streptococcal pharyngitis. What should the nurse teach the parents about the care that this child will need at home?
A) Expect the lymph nodes to swell and obstruct the airway.
B) Regular activity level should be encouraged as soon as possible.
C) Be aware that the infection may spread and cause a tooth abscess.
D) Complete the entire course of antibiotics to prevent rheumatic fever.
D
Feedback:
The nurse should help parents understand the importance of completing the full prescribed days of therapy in order to ensure all the streptococci are eradicated. If they are not, the child may develop a hypersensitivity or autoimmune reaction to group A streptococci that can result in rheumatic fever. Lymph node swelling should not occur if antibiotic therapy is initiated and continued as prescribed. The nurse should instruct parents about the importance of rest. This type of infection is not known to cause tooth abscesses.
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