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 B

Explanation

A. Deep, rapid respirations (Kussmaul respirations) are more commonly associated with diabetic ketoacidosis, not hypoglycemia.

B. Tachycardia is a common response to hypoglycemia as the body attempts to compensate for low blood glucose levels.

C. Polyuria is more characteristic of hyperglycemia and diabetes mellitus, not hypoglycemia.

D. Dry flushed skin is not a typical manifestation of hypoglycemia. It may occur with hyperglycemia or dehydration.

A. "Burp your baby more frequently during feedings." B. "Bring your baby in to the clinic today." C. "Try switching to a different formula." D. "Give your infant an oral rehydration solution."

Correct Answer is B

Explanation

A. Projectile vomiting in an infant could be indicative of a serious condition, and advising on burping may not be sufficient. A prompt assessment by a healthcare provider is needed.

B. Projectile vomiting can be a concerning sign and may be associated with conditions such as pyloric stenosis. Bringing the baby to the clinic for evaluation is the appropriate action.

C. Switching formula may not address the underlying cause of projectile vomiting, and it is crucial to determine the cause through a thorough examination.

D. While oral rehydration solution may be used for dehydration, the priority is to assess the infant in person to determine the cause of the vomiting.

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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

Correct Answer is B

Explanation

A parent calls a clinic and reports to a nurse that his 2-month-old infant is hungry more than usual but is projectile vomiting immediately after eating. Which of the following responses should the nurse make?

Correct Answer is B

Explanation

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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?

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