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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
In an infant with aortic stenosis and bilateral fine crackles in both lung fields, hypotension and tachycardia are additional findings that the nurse should expect to observe. Aortic stenosis can lead to decreased cardiac output, which can result in hypotension. The body compensates for this by increasing the heart rate, leading to tachycardia.
Choice B rationale
Vigorous feeding and satiation are not typically associated with aortic stenosis. Infants with aortic stenosis may actually have difficulty feeding due to fatigue.
Choice C rationale
Fever is not a typical symptom of aortic stenosis. If an infant with aortic stenosis has a fever, it may indicate a concurrent infection.
Choice D rationale
Hemiplegia, or paralysis of one side of the body, is not a typical symptom of aortic stenosis. If an infant with aortic stenosis presents with hemiplegia, it may indicate a serious complication such as a stroke.
Correct Answer is D
Explanation
The correct answer is choice d. Positive rapid strep test of the oropharynx.
Choice A rationale:
Blood pressure of 88/50 mmHg is lower than normal but not typically associated with acute glomerulonephritis. High blood pressure is more common in this condition.
Choice B rationale:
Weight loss is not a typical symptom of acute glomerulonephritis. Instead, fluid retention and weight gain are more common due to edema.
Choice C rationale:
A maculopapular rash over the trunk is not commonly associated with acute glomerulonephritis. This condition usually presents with symptoms like hematuria, proteinuria, and edema.
Choice D rationale:
A positive rapid strep test of the oropharynx indicates a recent streptococcal infection, which is a common cause of acute glomerulonephritis. Reporting this finding is crucial for appropriate management.
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