A 6-year-old child is diagnosed with rheumatic fever and demonstrates associated chorea (sudden aimless movements of the arms and legs). Which information should the nurse provide to the parents?

Permanent life-style changes need to be made to promote safety in the home.

Muscle tension is decreased with fine motor skill projects, so these activities should be encouraged

Consistent discipline is needed to help the child control the movements.

The chorea or movements are temporary and will eventually disappear.

Answer and Explanation

The Correct Answer is D

Choice A: Permanent lifestyle changes may not be necessary for a child with rheumatic fever and associated chorea. Rheumatic fever is typically treated with antibiotics to clear the streptococcal infection and prevent further complications.

Choice B: Muscle tension is not typically decreased with fine motor skill projects, and encouraging such activities may not directly address the symptoms of chorea. Fine motor activities can be pursued if they are enjoyable for the child but should not be presented as a primary treatment.

Choice C: Consistent discipline is important for children but may not be the primary focus when addressing chorea associated with rheumatic fever. Discipline should be appropriate and consistent but should not be the primary intervention for chorea.

Choice D: The chorea or movements are temporary and will eventually disappear. This is the most accurate and reassuring information to provide to the parents. Chorea associated with rheumatic fever typically resolves over time with appropriate treatment, and the child is expected to recover fully.

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Correct Answer is B

Explanation

Choice A: Taking the medication before meals is not a specific instruction for anticoagulant therapy. The timing of anticoagulant administration can vary depending on the specific medication and dosing regimen.

Choice B: Using an electric razor when shaving is an important instruction for clients on anticoagulant therapy. Anticoagulants can increase the risk of bleeding, and using a manual razor could lead to cuts or nicks that may be harder to control.

Choice C: Eating green leafy vegetables high in vitamin K is a relevant instruction for clients taking warfarin, an anticoagulant. However, it should be emphasized that consistent intake of vitamin K-rich foods is important to maintain consistent anticoagulation levels, rather than avoiding these foods altogether.

Choice D: Instructing the client to double the next dose if a dose is missed is not appropriate for anticoagulant therapy. Missing a dose should be addressed according to the healthcare provider's guidance and may involve taking the missed dose as soon as remembered or skipping it and continuing with the regular dosing schedule.

A. Serum protein. B. Serum osmolarity. C. Urinary ketones. D. Capillary glucose.

Correct Answer is D

Explanation

A. Serum protein is an indicator of the client’s overall nutritional status, but it is not as immediately critical to monitor as glucose levels in clients receiving TPN. Protein levels change more slowly over time and are not an acute concern.

B. While serum osmolarity is important in evaluating hydration status and electrolyte balance, it is not the primary lab to monitor during TPN administration. Glucose fluctuations are more likely to cause immediate complications.

C. Urinary ketones are typically monitored in clients with diabetic ketoacidosis (DKA), not in clients receiving TPN. Ketones are a byproduct of fat metabolism and are not a priority in TPN management.

D. Capillary glucose is the most important lab to monitor in clients on TPN because TPN solutions contain high amounts of glucose, which can lead to hyperglycemia. Monitoring glucose levels helps prevent complications such as hyperglycemia or hypoglycemia and is critical in managing the client's metabolic response to TPN.

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A 6-year-old child is diagnosed with rheumatic fever and demonstrates associated chorea (sudden aimless movements of the arms and legs). Which information should the nurse provide to the parents?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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