Nokea
A child with a fever of 39°C (102.2°F) and a sore throat is brought to the clinic. The practical nurse suspects the child has streptococcal pharyngitis. Which diagnostic test should the practical nurse prepare the child for?
- A. Rapid antigen detection test.
- B. Throat culture.
- C. Complete blood count (CBC).
- D. Chest X-ray.
Correct Answer: A
Rationale: A rapid antigen detection test is the appropriate diagnostic test for suspected streptococcal pharyngitis. This test is commonly used due to its quick results, helping in the prompt diagnosis and appropriate treatment of the condition. It specifically detects the presence of streptococcal antigens in the throat, aiding in confirming the diagnosis and guiding the healthcare provider in determining the most suitable treatment plan.
You may also like to solve these questions
When should oral hygiene practices start for an infant according to the American Dental Association guidelines?
- A. There is no need to begin until after all of the child's baby teeth are in.
- B. You don't have to worry about that until your child can handle a toothbrush.
- C. You can begin now using toothpaste on a gauze pad and wiping the gums.
- D. Begin wiping the teeth with a washcloth and water when the first tooth appears.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
In a 12-year-old child with a history of epilepsy brought to the emergency department after experiencing a 10-minute seizure, what is the nurse's priority intervention?
- A. Administer oxygen
- B. Administer antiepileptic medication as prescribed
- C. Monitor the child's vital signs
- D. Check the child's blood glucose level
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The infant scheduled for reduction of intussusception passes a soft-formed brown stool the day before the procedure. What intervention should the nurse implement?
- A. Instruct the parents that the infant needs to be NPO.
- B. Notify the healthcare provider of the passage of brown stool.
- C. Obtain a stool specimen for laboratory analysis.
- D. Ask the parents about recent changes in the infant's diet.
Correct Answer: B
Rationale: Notifying the healthcare provider is crucial when an infant scheduled for intussusception reduction passes a soft-formed brown stool as it may indicate spontaneous reduction of the intussusception. The healthcare provider needs to be informed to assess if the procedure is still necessary or if further evaluation is required.
A 7-year-old child with a history of asthma is brought to the emergency department with an acute asthma exacerbation. The child is wheezing and using accessory muscles to breathe. What is the nurse's priority intervention?
- A. Administer a nebulized bronchodilator
- B. Obtain an arterial blood gas
- C. Start the child on oxygen therapy
- D. Notify the healthcare provider
Correct Answer: A
Rationale: In a 7-year-old child with an acute asthma exacerbation showing signs of wheezing and increased work of breathing, the priority intervention for the nurse is to administer a nebulized bronchodilator immediately. Bronchodilators help dilate the airways, relieve bronchospasm, and improve breathing, which is crucial in managing an acute asthma attack and preventing further respiratory distress.
An adolescent female who comes to the school clinic is reluctant to confide her concerns to the practical nurse (PN). The PN tells the teen that confidentiality and privacy are maintained unless a life-threatening situation arises. Which principle supports the PN's response?
- A. The adolescent should be encouraged to seek help outside of the school clinic.
- B. Disclosures from the adolescent should be kept confidential.
- C. Honest information ensures establishing a trusting relationship.
- D. Minor adolescents should not be encouraged to disclose private concerns.
Correct Answer: C
Rationale: The correct principle supporting the practical nurse's response is that honest information ensures establishing a trusting relationship. By assuring confidentiality and privacy to the adolescent unless there is a life-threatening situation, the practical nurse fosters an environment where the teen feels safe to share their concerns openly. This approach helps build trust, encouraging effective communication and support for the adolescent's well-being.