. 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?"
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Sickle Cell Disease: Sickle cell disease presents with episodes of pain, anemia, and other complications, but it does not typically cause sneezing, coughing, nasal congestion, or apneic spells.
B. Bronchiolitis: Bronchiolitis is a viral respiratory infection, most commonly caused by respiratory syncytial virus (RSV), that affects infants and young children. Symptoms include sneezing, coughing, nasal congestion, fever, and apneic episodes, which match the description in the question.
C. Croup: Croup is characterized by a barky cough, hoarseness, and stridor, usually due to viral infections such as parainfluenza. It does not typically cause apneic spells in a 3-month-old.
D. Epiglottitis: Epiglottitis presents with severe sore throat, difficulty swallowing, drooling, and stridor. It is a more acute, life-threatening condition that does not typically present with nasal congestion or apneic spells.
Correct Answer is D
Explanation
A. "If your baby vomits a dose, you should repeat the dose to ensure that the correct amount is received.": If the baby vomits the dose, the caregiver should not repeat the dose unless instructed by the healthcare provider.
B. "Do not offer your baby fluids after giving the medication.": Digoxin can be given with fluids, and withholding fluids is not necessary unless specified by a healthcare provider.
C. "Digoxin increases your baby's heart rate.": Digoxin slows the heart rate, which helps in treating conditions like heart failure or arrhythmias.
D. "Give the correct dose of medication at regularly scheduled times.": Regularity in administration is crucial to maintaining therapeutic drug levels and preventing toxicity.
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