A 7-year-old child has been admitted to the hospital with a diagnosis of acute rheumatic fever. When taking a health history from the child’s mother, which recent illness is of most significance?

Chickenpox.

Mumps.

Sore throat.

Influenza.

Answer and Explanation

The Correct Answer is C

Choice A rationale
Chickenpox is a viral infection that can cause a fever and rash. However, it is not typically associated with the development of acute rheumatic fever. Acute rheumatic fever is an inflammatory disease that can develop when strep throat or scarlet fever isn’t properly treated.
Choice B rationale
Mumps is a viral infection that causes swelling of the salivary glands. Like chickenpox, it is not typically associated with the development of acute rheumatic fever.
Choice C rationale
A recent history of sore throat is significant because acute rheumatic fever can develop as a complication of an untreated strep throat infection. Strep throat is caused by group A Streptococcus bacteria, which can trigger an immune response leading to rheumatic fever if not treated properly.
Choice D rationale
Influenza, or the flu, is a viral infection that can cause a range of symptoms, including fever, cough, and body aches. However, it is not typically associated with the development of acute rheumatic fever.

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Correct Answer is B

Explanation

Choice A rationale
Dividing the gluteal area into quarters and giving the IM injection into the upper outer quadrant is not the recommended technique for a 16-month-old toddler. This site is not typically used until after the child has begun walking regularly and has developed sufficient muscle mass.
Choice B rationale
Administering the injection into the middle of the lateral aspect of the thigh is the recommended technique for a 16-month-old toddler. The vastus lateralis muscle in the thigh is usually the preferred site for IM injections in infants and young children.
Choice C rationale
Using a needle length of 1/2 inch (1.25 cm) to avoid deep tissue damage is not the recommended technique for a 16-month-old toddler. The needle length should be appropriate for the age and size of the child, and a 1/2 inch needle may not be long enough to reach the muscle tissue.
Choice D rationale
Giving the injection in the arm, one to 2 inches (2.5 to 5.0 cm) below the acromion process, is not the recommended technique for a 16-month-old toddler. The deltoid muscle in the arm is typically not used for IM injections until after the child is 3 years old.

A. Propose food even if the child shows no interest. B. Integrate play activities during meal times. C. Establish regular meal times. D. Permit a variety of food options.

Correct Answer is C

Explanation

Choice A rationale
Proposing food even if the child shows no interest might not be effective. Children with autism spectrum disorder often have specific food preferences and may resist trying new foods.
Choice B rationale
While integrating play activities during meal times can make the experience more enjoyable for some children, it might be distracting for a child with autism spectrum disorder. These children often benefit from a calm, structured environment.
Choice C rationale
Establishing regular meal times can provide a sense of structure and predictability, which can be comforting for children with autism spectrum disorder. Regular meal times can also help ensure that the child is receiving adequate nutrition.
Choice D rationale
Permitting a variety of food options can be beneficial for some children, but children with autism spectrum disorder often have specific food preferences and may resist trying new foods.

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A 7-year-old child has been admitted to the hospital with a diagnosis of acute rheumatic fever. When taking a health history from the child’s mother, which recent illness is of most significance?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is giving an intramuscular injection of an antibiotic to a 16-month-old toddler with pneumonia. The toddler does not have any known allergies and has been walking without assistance for one month. Which technique should the nurse select for administration?

Correct Answer is B

Explanation

A nurse is providing care for a toddler diagnosed with autism spectrum disorder and failure to thrive. What strategy should the nurse employ?

Correct Answer is C

Explanation

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