A telephone advice RN receives a call from a parent regarding her 6-year-old child. The mother reports that the child developed a sore throat, fever, and lethargy that morning. The child also reports pain upon swallowing.1. The RN advises the mother to assess the child's oral cavity. The observation of which clinical sign would be most significant in the diagnosis of pharyngitis caused by a streptococcal organism?White pockets of exudateRed oral mucosaSwollen tonsilsFoul-smelling breath2. Based upon the mother's response to the appearance of the oral cavity, the RN advises the mother to seek medical attention for her child. In educating the mother about potential complications for untreated streptococcal throat infections, she indicates that all of the following are potential complications except:GlomerulonephritisRheumatic feverScarlet feverHemolytic uremic syndrome3. The RN advises the mother to observe for symptoms in the other children in the household. When can she expect to see symptoms emerge if the other children become infected?5â7 days24â48 hours12â24 hours2â5 days4. To confirm the diagnosis and begin appropriate treatment, the RN expects all of the following to be ordered except ________.pharyngeal culturerapid pharyngeal swab testbed restpenicillin5. The patient's rapid strep A test comes back positive in 1 hour. How would the RN best communicate to the mother that the medical team may be wary of confirming the diagnosis of strep throat based upon this information alone?The rapid strep test requires 24 hours to be conclusively diagnostic.The rapid strep test has a high risk of contamination.The rapid strep test requires 12 hours to be conclusively diagnostic.The rapid strep test has a high risk of false-negative results.
