Question: C.K., A 38-year-old Secretary, Has Come To The Clinic With A Fever, Sore Throat, And Cough That She Has Had For 2 Days. Her Posterior Pharynx Is Reddened With Patches Of Purulent Exudate, And She Complains That It Hurts To Swallow. Based On Her Symptom History And Physical Examination, The Physician Suspects A Streptococcal Infection. After A Throat …

C.K., a 38-year-old secretary, has come to the clinic with afever, sore throat, and cough that she has had for 2 days. Herposterior pharynx is reddened with patches of purulent exudate, andshe complains that it hurts to swallow. Based on her symptomhistory and physical examination, the physician suspects astreptococcal infection. After a throat culture, C.K. is started onamoxicillin 500 mg every 8 hours for 10 days.

• Explain the rationale for obtaining a throat culture before thefirst dose of amoxicillin is given.
• Before giving the first dose of amoxicillin, what additionalassessment data does the nurse need to collect from C.K.?
• What should the nurse teach C.K. about taking theamoxicillin?

After 10 days on the antibiotic therapy, C.K. calls the office.Her throat is better, but she complains of severe perineal itchingand has noticed a vaginal discharge.

• What is happening? Explain your answer.