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
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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Related Questions
Correct Answer is C
Explanation
A. Blaming the family may increase the child's sense of guilt or shame. It's important to focus on supporting the child rather than blaming the family outright.
B. Promising not to tell anyone may compromise the child's safety. Reporting abuse is essential to protect the child.
C. Affirming that it is not the child's fault helps to alleviate potential feelings of guilt or responsibility. This statement supports the child emotionally.
D. Discussing the incident with the family directly may not be safe for the child. Reporting suspicions of abuse to the appropriate authorities is necessary.
Correct Answer is D
Explanation
A. Feelings of displacement may occur, but the most common reaction involves concerns related to body image changes.
B. An identity crisis is less common in the context of scoliosis surgery, where body image and self-esteem issues are more prevalent.
C. Loss of privacy is a concern with surgical interventions, but it may not be the most common reaction.
D. Adolescents with scoliosis often experience body image changes due to the visible effects of the condition and the surgical intervention. Anticipating and addressing these concerns is an essential aspect of nursing care.
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