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 ["B","F","G","H"]
Explanation
A. An electrocardiogram with a tall T wave and widened QRS complex may indicate electrolyte imbalances or cardiac issues, which are not indicative of stabilization.
C. Basilar crackles can be a sign of pulmonary or cardiac issues and are not indicative of stabilization.
D. A urine output of 20 mL in the last hour may suggest reduced kidney function or hydration status and is not indicative of stabilization.
E. A respiratory rate of 26 breaths/minute may indicate respiratory distress and is not indicative of stabilization.
The assessment findings that suggest stabilization include:
A blood pressure within the normal range (126/76 mm Hg).
A heart rate within the normal range (72 beats/minute).
Oxygen saturation of 98% on room air, indicating adequate oxygenation.
A normal body temperature (98.9°F or 37.1°C orally).
These vital signs and clinical parameters are within normal ranges, suggesting that the client's condition is stable at this time.
Correct Answer is B
Explanation
A. Collecting a sterile urine sample for culture and sensitivity is not the priority in this situation. The primary concern is the potential testicular torsion, and this action does not address that concern.
B Report the findings immediately to the healthcare provider.
Intense pain in the testicular area, especially when accompanied by significant erythema (redness) and swelling, can be indicative of a serious condition such as testicular torsion, which is a medical emergency. Testicular torsion occurs when the spermatic cord twists, cutting off blood supply to the testicle. It requires immediate medical evaluation and intervention.
C. Obtaining a swab of secretions from the penis and urethra is not the most immediate concern in the presence of intense testicular pain, erythema, and swelling. It may be relevant for other conditions but does not address the urgency of this situation.
D. Providing the adolescent with a urinal for urinary hesitancy does not address the primary concern, which is the possibility of testicular torsion. Testicular torsion is not related to urinary hesitancy.
Testicular torsion is a surgical emergency, and the healthcare provider should be notified immediately to evaluate the adolescent and initiate appropriate treatment. Delay in diagnosis and intervention can lead to testicular damage and potential loss of the affected testicle.
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