. 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 C

Explanation

A. Place the child in a sitting position and tilt her head back: Tilting the head back risks blood aspiration or swallowing, which can cause nausea or vomiting.

B. Apply ice at the opening of the nares for 5 minutes and then re-check for bleeding: Ice may help, but direct pressure is the first-line intervention.

C. Have the child sit with her head tilted forward and hold pressure on her nose for 10 min: This is the appropriate action to stop bleeding and prevent blood from entering the airway or stomach.

D. Place the child in a supine position with a pillow under her head: This position is unsafe as it can lead to blood pooling in the back of the throat.

A. Inhaled steroid B. Oral leukotriene modifiers C. Inhaled beta agonist D. Oral steroids

Correct Answer is C

Explanation

A. Inhaled steroid: Inhaled corticosteroids are used for long-term control of asthma and are not typically used during an acute asthma attack. They work by reducing inflammation, but they do not provide immediate relief of bronchoconstriction.

B. Oral leukotriene modifiers: Leukotriene modifiers are used for long-term asthma management, but they are not effective in providing quick relief during an acute asthma attack.

C. Inhaled beta agonist: Beta agonists (e.g., albuterol) are the first-line treatment for quick relief during an asthma attack. They work by relaxing the muscles around the airways to improve airflow and relieve symptoms like chest tightness and coughing.

D. Oral steroids: Oral steroids (e.g., prednisone) are used for severe asthma exacerbations, but they are not used as the first-line treatment for quick relief of symptoms like tight chest and cough. They take time to reduce inflammation.

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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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