A child is diagnosed with group A beta-hemolytic streptococcus ...

[Diane]

A child is diagnosed with group A beta-hemolytic streptococcus (GABHS) infection of the throat. Which item will the nurse include in the teaching plan for the parents?
 
  1. Complete the entire course of antibiotics.
  2. Keep the child NPO (nothing by mouth).
  3. Continue normal activities.
  4. Do not allow the child to gargle with saltwater.

Question 2

The nurse completes postoperative discharge teaching to the parents of a child who had a tonsillectomy. Which statement by the parents indicates correct understanding of the teaching session?
 
  1. We will call the physician for any indication of ear pain.
  2. We will plan on administering acetaminophen (Tylenol) for pain.
  3. We will be sure to give our child adequate amounts of citrus juices.
  4. We will keep our child on bed rest for 10 days after the surgery.

[okolip]

Answer to Question 1

Correct Answer: 1
Rationale: It is important for parents to complete the entire course of antibiotics for GABHS infections. Nothing-by-mouth, or NPO, status is not recommended because the child needs to stay hydrated. The child should rest, and use of warm saltwater gargles is recommended.

Answer to Question 2

Correct Answer: 2
Rationale: Acetaminophen (Tylenol) is recommended for pain after a tonsillectomy. Citrus juices should be avoided for the first week because highly acidic foods and beverages can cause irritation. Ear pain 4 to 8 days after a tonsillectomy may be experienced and does not indicate an ear infection. Children do not need to be confined to bed. They can return to school in 10 days.