A nurse is caring for a child who has rheumatic fever. When obtaining the child's medical history from the parent, the nurse should recognize the significance of which of the following data as the possible source of the child's infection?

The father who had gastritis 2 weeks ago

A neighbor's child who has chickenpox

A sibling who had a sore throat 3 weeks ago

A classmate who has fifth disease

Answer and Explanation

The Correct Answer is C

A. Gastritis is not an infectious condition and is unlikely to be the source of the child's rheumatic fever.

B. Chickenpox is caused by a different pathogen (varicella-zoster virus) and is not associated with the development of rheumatic fever.

C. Rheumatic fever often follows untreated or inadequately treated streptococcal infections, particularly streptococcal pharyngitis (sore throat). A sibling with a recent sore throat is a significant piece of information.

D. Fifth disease is caused by parvovirus B19 and is not known to be a precursor to rheumatic fever.

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Correct Answer is A

Explanation

A. Scoliosis is a lateral curvature of the spine. It is commonly assessed during routine physical examinations, especially in adolescents.

B. Lordosis refers to an exaggerated inward curvature of the spine, typically in the lumbar region.

C. Torticollis is a condition characterized by a tilt of the head to one side due to the shortening of muscles on one side of the neck.

D. Kyphosis is an exaggerated outward curvature of the thoracic spine, leading to a rounded upper back.

A. Collect all urine. B. Contact precautions. C. Do not palpate abdomen. D. No venipuncture or blood pressure in left arm.

Correct Answer is C

Explanation

A. Collecting all urine may be a part of the diagnostic process, but it is not the primary warning associated with Wilms' tumor.

B. Contact precautions are not typically required for Wilms' tumor.

C. The warning "Do not palpate abdomen" is crucial because palpation can potentially disrupt the tumor and cause hemorrhage.

D. No venipuncture or blood pressure in the left arm is not a typical precaution associated with Wilms' tumor. The emphasis is on avoiding abdominal palpation to prevent trauma to the tumor.

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A nurse is caring for a child who has rheumatic fever. When obtaining the child's medical history from the parent, the nurse should recognize the significance of which of the following data as the possible source of the child's infection?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with a routine physical examination of an adolescent. The provider observes a lateral curvature of the spine. The nurse should expect the provider to document which of the following disorders?

Correct Answer is A

Explanation

A child is admitted with a suspected diagnosis of Wilms’ tumor. The nurse should place a sign with which of the following warnings over the child’s bed?

Correct Answer is C

Explanation

A nurse reports an incident of suspected child abuse. One of the parents of the child becomes upset and demands to know the reason for the nurse's action. Which of the following responses by the nurse is appropriate?

A nurse in a PACU is admitting a client who is postoperative following a tonsillectomy. Which of the following actions should the nurse plan to take to prevent aspiration?

A nurse is assessing a child who is postoperative following a tonsillectomy. Which of the following findings is a manifestation of hemorrhage?

A nurse is teaching the parents of a toddler about temper tantrums. Which of the following statements should the nurse include in the teaching?

A nurse is caring for an 8-month-old infant who screams when the parent leaves the room. The parent begins to cry and says, “I don’t understand why my child is so upset. I’ve never seen my child act this way around others before.” Which of the following statements should the nurse make?

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