Micro Final - Medical Moments & Case Files

A nurse at a medical call center is consulting with a mother regarding her 8-year-old daughter. The child is experiencing throat pain and fever.

The nurse educates the mother about a condition associated with untreated pharyngitis that may result in damage to heart valves and cause joint pain.

What condition is the nurse referencing to?

Rheumatic fever

What information should be included in health promotion classes for parents of school-age children with regard to the treatment of sore throats?

Parents should take their child to a health care provider so that a rapid throat culture can be obtained.

A mother brings her child into the clinic setting and tells the nurse the “baby has an ear infection and I want the doctor to prescribe antibiotics.” After the client sees the provider, no prescription is given.

The nurse then provides discharge instructions to the client. The mother is visibly upset and states, “I don’t know why I even came to the doctor if he is not going to treat my baby.”

What is the nurse’s best response?

Explain the concepts of “watchful waiting” and developing antibiotic resistance.

A nurse is developing a health promotion class on identification and prevention of tuberculosis (TB). Which clients would the nurse include in TB testing? Select all that apply.

a. Client who is HIV-positive

b. Male, age 38, who works as a prison guard

c. Nursing student with no comorbid conditions

d. Migrant farm worker with limited health access who presents to the clinic for information on diabetes

e. Female, age 26, who recently traveled abroad visiting endemic areas

a, b, d, e