A patient has been diagnosed with strep throat. The nurse is ...

[justinmsk]

A patient has been diagnosed with strep throat. The nurse is aware that without treatment, which complication may occur?
 
  a. Rubella
  b. Leukoplakia
  c. Rheumatic fever
  d. Scarlet fever

Question 2

The nurse is performing an assessment. Which of these findings would cause the greatest concern?
 
  a. Painful vesicle inside the cheek for 2 days
  b. Presence of moist, nontender Stensen's ducts
  c. Stippled gingival margins that snugly adhere to the teeth
  d. Ulceration on the side of the tongue with rolled edges

[nekcihc358]

Answer to Question 1

ANS: C
Untreated strep throat may lead to rheumatic fever. When performing a health history, the patient should be asked whether his or her sore throat has been documented as streptococcal.

Answer to Question 2

ANS: D
Ulceration on the side or base of the tongue or under the tongue raises the suspicion of cancer and must be investigated. The risk of early metastasis is present because of rich lymphatic drainage. The vesicle may be an aphthous ulcer, which is painful but not dangerous. The other responses are normal findings.

[justinmsk]

TYSM

[kjohnson]

Excellent