Pediatrics Question #30
Which assessment by the nurse of a child diagnosed with tonsillitis is most critical?
- Foul odor to breath.
- Deviation of uvula to one side.
- Hoarse voice.
- Sandpaper-like rash.
The correct answer is B. Deviation of the uvula to one side can be an indication of severe swelling or a peritonsillar abscess that can block the throat possibly making it difficult to breath. The breath of a child diagnosed with tonsillitis is likely to be foul smelling from accumulation of sulfur-producing bacteria and debris that becomes lodged in the tonsils. A hoarse voice can be a normal sign and is not a need for additional concern beyond care for tonsillitis. A sandpaper-like rash can appear 12-48 hours after symptoms of tonsillitis begin. This is known as scarlet fever (a strep rash).
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