Author Question: A 5-year-old child is brought into the clinic by a parent, who reports the child has a sore throat. ... (Read 133 times)

sc00by25 · **on:** Jun 28, 2018

A 5-year-old child is brought into the clinic by a parent, who reports the child has a sore throat. Which assessment finding would require immediate notification to the health-care provider?

A.
Difficulty swallowing
B.
Inflamed, red pharynx
C.
Refusing to eat the last 2 days
D.
Strawberry-colored tongue

Question 2

The parents of a child diagnosed with cystic fibrosis (CF) consult the nurse, stating they want to have more children but are worried about subsequent children also having the disease. Which information does the nurse provide the parents?

A.
Each child has a 25 chance of inheriting the disease.
B.
This disease is rare, so other children should not be affected.
C.
Unfortunately, there is no way to predict if they will have it.
D.
You should have genetic testing to see who the carrier is.

wilsonbho · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: D
A strawberry-red tongue, petechiae on the palate, and a fine red rash on the trunk or abdomen are consistent with pharyngitis caused by Streptococcus A infection, which needs immediate treatment. The other manifestations are seen with viral pharyngitis infections.

Answer to Question 2

ANS: A
Cystic fibrosis is an inherited autosomal recessive disorder. When both parents carry the defective gene, each child has a 25 chance of inheriting the defective gene from both parents and manifesting the disease. It is a common disorder, especially in Caucasians, affecting 1 in 3,000 live births.