For viral tonsillitis, which statement reflects the best nurse's guidance?

• A. You will need to give your child a prescribed antibiotic for 10 days.
• B. You will need to schedule a follow-up appointment in 2 weeks.
• C. Tylenol every 4 to 6 hours as needed for pain.
• D. Warm towels around your child's neck for comfort.

Answer: (C)

Viral tonsillitis is caused by a virus, so antibiotics won’t shorten the illness and aren’t needed for routine care. The best nurse guidance centers on comfort and supportive treatment. Giving acetaminophen to relieve pain and fever on a schedule of every 4 to 6 hours as needed is appropriate, with dosing based on the child’s age or weight and not exceeding the daily maximum. It’s important to avoid aspirin in children. Encourage plenty of fluids and rest, and consider non-pharmacologic comfort measures like a humidifier if helpful. A follow-up appointment every 2 weeks isn’t routinely required for typical viral illness, unless symptoms persist, worsen, or new warning signs appear. Warm towels around the neck don’t have proven benefit for viral tonsillitis and aren’t necessary. Seek care promptly if there are signs of dehydration, breathing difficulties, drooling with fever, or inability to swallow.