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?
"Has your son had a sore throat recently?"
"Was your son born with this cardiac defect?"
"Are you aware that your son will have to be in isolation?
"Has your child had any injuries recently?"
The Correct Answer is A
A. "Has your son had a sore throat recently?"
This question is relevant because acute rheumatic fever often occurs as a complication of untreated or inadequately treated streptococcal throat infection (strep throat). A recent history of sore throat could indicate a preceding streptococcal infection, which is an important predisposing factor for the development of acute rheumatic fever.
B. "Was your son born with this cardiac defect?"
This question is less relevant in the context of acute rheumatic fever. Acute rheumatic fever is not a congenital heart defect; it is an inflammatory condition that affects the heart valves following streptococcal infection. While it's important to assess the child's cardiac health, asking about congenital heart defects may not directly relate to the current condition.
C. "Are you aware that your son will have to be in isolation?"
This question is not applicable to acute rheumatic fever. Acute rheumatic fever is not a contagious condition that requires isolation. It is an autoimmune response triggered by streptococcal infection and does not pose a risk of transmission to others.
D. "Has your child had any injuries recently?"
Inquiring about recent injuries is not directly related to acute rheumatic fever. Acute rheumatic fever is an inflammatory condition primarily triggered by streptococcal infection and is not caused by physical injuries.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C"]
Explanation
A. "You should begin to manipulate the infant's bedtime based on the hospital's visiting hours."
This statement is incorrect. Manipulating the infant's bedtime based on hospital visiting hours may disrupt the infant's regular sleep schedule, potentially causing discomfort and distress. It's important to maintain the infant's routine as much as possible to promote comfort and well-being.
B. "You should bring the infant's favorite blanket to the hospital."
This statement is correct. Bringing the infant's favorite blanket or comfort item can provide familiarity and comfort during the hospital stay. Having familiar items from home can help soothe the infant and reduce anxiety associated with the new environment.
C. "You should read the child a story about hospitalization."
This statement is correct. Reading a story about hospitalization to the child can help prepare them for the upcoming experience and alleviate fear or anxiety. Choosing age-appropriate books that explain what to expect during a hospital stay can help normalize the experience and provide reassurance to the infant and parents.
D. "You will need to go home when it is not visiting hours."
This statement is incorrect. Parents are typically allowed to stay with their infant throughout the hospitalization, especially in the case of pediatric patients. Family presence is important for providing comfort and support to the infant and facilitating bonding during the hospital stay.
Correct Answer is B
Explanation
A. Methylprednisolone: Methylprednisolone is a corticosteroid used for long-term management and prevention of asthma exacerbations. It has anti-inflammatory effects and is not typically used for immediate relief during an acute asthma attack.
B. Albuterol: Albuterol is a short-acting beta-agonist bronchodilator, which is the first-line medication for relieving acute bronchoconstriction during an asthma attack. It works quickly to open the airways and improve breathing.
C. Fluticasone: Fluticasone is an inhaled corticosteroid used for long-term asthma control and prevention of symptoms. It has anti-inflammatory effects but is not used for immediate relief during an acute asthma attack.
D. Beclomethasone: Beclomethasone is also an inhaled corticosteroid used for long-term asthma control and prevention of symptoms. Like fluticasone, it is not used for immediate relief during an acute asthma attack.
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