A 7-year-old child is admitted to the hospital with a diagnosis of acute rheumatic fever. In obtaining a health history from the child's mother, the recent occurrence of which illness is most significant?

Chickenpox.

Mumps.

Sore throat.

Influenza.

Answer and Explanation

The Correct Answer is C

A. Chickenpox is caused by the varicella-zoster virus and is not directly related to the development of acute rheumatic fever.

B. Mumps is caused by the mumps virus and is not directly related to the development of acute rheumatic fever.

C. Sore throat.

Acute rheumatic fever (ARF) is an inflammatory condition that can occur after an untreated or inadequately treated streptococcal throat infection, such as streptococcal pharyngitis (strep throat). It is caused by group A Streptococcus bacteria.

In ARF, the body's immune response to the streptococcal infection can lead to inflammation and damage to various parts of the body, including the heart, joints, skin, and central nervous system. One of the major criteria for diagnosing ARF is a history of a sore throat. Therefore, the most significant recent occurrence for the health history in this case would be a sore throat (option C).

D. Influenza is caused by the influenza virus and is not directly related to the development of acute rheumatic fever.

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Correct Answer is D

Explanation

A. Encourage the parents to rest when possible.While ensuring that parents get rest is important for overall family well-being, this intervention does not directly address the child's immediate symptoms.

B. Apply lotion to hands and feet.Applying lotion can help soothe the discomfort associated with skin peeling. However, this intervention is more supportive and addresses a later concern. It does not directly alleviate the child's irritability or refusal to eat.

C. Make a list of foods that the child likes.This intervention focuses on improving the child's nutritional intake by offering familiar foods. However, if the child is irritable and overstimulated, their refusal to eat may be due to discomfort or distress. Addressing the irritability first may improve their willingness to eat.

D. Place the child in a quiet environment.Children with Kawasaki disease often experience irritability due to discomfort, fever, and the overall systemic effects of the illness. Creating a quiet environment helps reduce sensory stimulation, which can soothe the child and decrease irritability.

A. Reactions to any previous hospitalizations. B. A history of rubella, rubeola, or chicken pox. C. Mother's use of alcohol, drugs, or cigarettes during pregnancy. D. List of achievement timeline for developmental milestones.

Correct Answer is C

Explanation

A. Reactions to any previous hospitalizations can provide some insight into the child's previous healthcare experiences, but it may not be as directly relevant to planning care for an umbilical hernia repair.

B. A history of rubella, rubeola, or chicken pox is important for the child's medical history, but it may not be the most critical information when planning care for an umbilical hernia repair.

C. The mother's use of alcohol, drugs, or cigarettes during pregnancy is particularly relevant when planning care for a child undergoing surgery, as it can affect the child's overall health and potential complications during and after the procedure. Exposure to these substances during pregnancy can lead to various health issues that need to be considered in the child's care plan.

D. A list of achievement timeline for developmental milestones is important for understanding the child's developmental progress, but it may not be the primary consideration when planning care for an umbilical hernia repair.

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A 7-year-old child is admitted to the hospital with a diagnosis of acute rheumatic fever. In obtaining a health history from the child's mother, the recent occurrence of which illness is most significant?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A child diagnosed with Kawasaki disease is brought to the clinic. The mother reports that her child is imitable, refuses to eat, and has skin peeling on both hands and feet. Which intervention should the nurse instruct the mother to implement first?

Correct Answer is D

Explanation

A six-year-old girl is being admitted to the hospital for repair of an umbilical hernia. Which information, collected by the admitting nurse, is particularly helpful in planning care for this child?

Correct Answer is C

Explanation

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