A Child with a History of a Pustular Rash at the Site

question 10

Multiple Choice

A child with a history of a pustular rash at the site of a cat scratch on one arm now has warm, tender, swollen axillary lymph nodes on the affected side. The primary care pediatric nurse practitioner notes induration and erythema of these nodes. What will the nurse practitioner do?

• A) Obtain a complete blood count and C-reactive protein.
• B) Order an immunofluorescent assay (IFA) for serum antibodies.
• C) Perform a needle aspiration of the affected lymph nodes.
• D) Prescribe a 5-day course of azithromycin.

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