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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"}}
Explanation
Based on the provided information, it seems that the parents have an understanding of the echocardiogram procedure. Here's the assessment for each statement:
Statement:
The echocardiogram is an invasive procedure. (No understanding) - This statement is incorrect. An echocardiogram is a non-invasive procedure.
I can show my child a movie or read him a book during the procedure. (Understanding) - This statement indicates an understanding that the child can be comforted or distracted during the procedure.
Echocardiography uses soundwaves to produce images. (Understanding) - This statement reflects an understanding of the basic principle of how echocardiography works.
The echocardiogram will produce an image of the structure of the heart. (Understanding) - This statement shows an understanding of the purpose of the echocardiogram, which is to visualize the structure of the heart.
Correct Answer is ["A","D","E"]
Explanation
To help the parents decrease their anxiety, the nurse can:
A. Provide the parents with ideas about how to make their child feel better after the procedure. This can help reassure the parents that they can support their child during the recovery process.
D. Find a comfortable area that the parents can wait that is close to the procedure area. Being close to the procedure area allows the parents to stay informed and feel more connected to their child during the procedure.
E. Do not give any specifics on the amount of time the procedure will take. Providing a specific time may increase anxiety, so it's often better to provide a general idea of the timeframe.
Option B is not appropriate because stating that the procedure is 100% effective and safe may not be accurate and could lead to false expectations.
Option C is not appropriate because limiting visitation based on the parents' anxiety is not typically recommended. Supportive presence is generally encouraged for both the child and parents.
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