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Home Q & A Board Biology-Related Homework Help Medicine Nursing and Clinical
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studydude studydude
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5 years ago
A client comes to the emergency department complaining of a sore throat. He has white patches on his tonsils, and he has swollen cervical lymph nodes. What will the best plan by the nurse include?
 
  1. Plan to administer a narrow-spectrum antibiotic.
  2. Plan to administer a broad-spectrum antibiotic.
  3. Plan to obtain blood cultures.
  4. Plan to obtain a throat culture.
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DhiyanniADhiyanniA
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5 years ago
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Rationale 1: Initial therapy with a narrow-spectrum antibiotic is too specific without knowing the causative organism.
Rationale 2: A broad-spectrum antibiotic is commonly ordered, but a throat culture should be obtained first.
Rationale 3: Blood cultures are not necessary at this point because the infection is in the throat; it is not systemic.
Rationale 4: A throat culture is necessary to identify the causative organism and initiate the best antibiotic treatment.
Global Rationale: A throat culture is necessary to identify the causative organism and initiate the best antibiotic treatment. Initial therapy with a narrow-spectrum antibiotic is too specific without knowing the causative organism. A broad-spectrum antibiotic is commonly ordered, but a throat culture should be obtained first. Blood cultures are not necessary at this point because the infection is in the throat; it is not systemic.
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