. A nurse is assisting with the admission of a 9-year-old child who has acute rheumatic fever. When obtaining the client's history, it is appropriate for the nurse to ask the parent which of the following questions?

"Are you aware that your son will have to be in isolation?"

"Has your child had any injuries recently?"

"Has your son had a sore throat recently?"

"Was your son born with this cardiac defect?"

Answer and Explanation

The Correct Answer is C

A. "Are you aware that your son will have to be in isolation?": Acute rheumatic fever does not typically require isolation, so this is not the most relevant question.

B. "Has your child had any injuries recently?": This question is not specifically related to acute rheumatic fever, which is caused by a preceding streptococcal throat infection, not injuries.

C. "Has your son had a sore throat recently?": This is the most appropriate question, as acute rheumatic fever is a complication that can follow a streptococcal throat infection, so identifying a history of recent sore throat is key.

D. "Was your son born with this cardiac defect?": Rheumatic fever is an acquired condition, not a congenital defect.

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Correct Answer is A

Explanation

A. Squatting increases the return of venous blood flow to the heart: Squatting increases systemic vascular resistance and venous return, which helps to increase oxygenation in children with Tetralogy of Fallot, as it reduces the right-to-left shunting and increases blood flow to the lungs.

B. Squatting in common resting position when a child is tachycardic: While squatting can be used to manage symptoms, this answer is misleading as squatting specifically helps in increasing blood flow and decreasing the symptoms of cyanosis in Tetralogy of Fallot, not just during tachycardia.

C. Squatting decreases arterial blood flow away from the heart: Squatting actually increases blood flow to the heart and lungs by increasing systemic vascular resistance.

D. Squatting increases the workload of the heart: Squatting helps reduce the workload on the heart in Tetralogy of Fallot by improving oxygenation and decreasing cyanosis.

A. Upright B. Side-lying C. Supine D. Prone

Correct Answer is A

Explanation

A. Upright: In an upright position, gravity helps expand the lungs, allowing for maximal ventilation and improved oxygenation. This position helps the diaphragm move downward and increases lung volume, making it easier to breathe.

B. Side-lying: Side-lying positions may be helpful in certain situations, such as in cases of aspiration pneumonia, but they do not provide the best lung expansion for respiratory failure.

C. Supine: Lying flat on the back can increase the work of breathing and make it harder for the lungs to fully expand, especially in a child with respiratory distress.

D. Prone: The prone position is sometimes used in cases of acute respiratory distress syndrome (ARDS) in adults, but it is not commonly recommended for children with pneumonia unless specifically ordered by the healthcare provider.

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. A nurse is assisting with the admission of a 9-year-old child who has acute rheumatic fever. When obtaining the client's history, it is appropriate for the nurse to ask the parent which of the following questions?

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