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 C

Explanation

A. The described behaviors, such as sitting quietly and turning away, may suggest the toddler is seeking comfort and self-soothing, which can be indicative of developing autonomy rather than anxiety.

B. Resentment toward the mother is a less likely interpretation of these behaviors, especially considering the age of the toddler.

C. Developing autonomy is a common developmental stage around this age. Toddlers begin to explore their independence and may engage in self-soothing behaviors.

D. Regression is a return to an earlier developmental stage. The behaviors described are more consistent with the development of autonomy rather than regression.

A. "Stay with your child until the child is asleep." B. "Let your child sleep in your bed with you." C. "Keep a night light on in your child's room." D. "Tell your child that monsters are not real."

Correct Answer is C

Explanation

A. Staying with the child until asleep may temporarily address the fear but may not help the child develop coping skills for the future.

B. Allowing the child to sleep in the parent's bed may provide comfort but may not address the fear of monsters in the long term.

C. Keeping a night light on in the child's room can provide a sense of security and help alleviate fear by making the environment less intimidating.

D. Telling the child that monsters are not real may not be effective at this age, as young children often have difficulty distinguishing between fantasy and reality. Offering reassurance and
practical solutions like a night light may be more helpful.

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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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Correct Answer is C

Explanation

The parent of a 4-year-old child tells a nurse that the child believes there are monsters hiding in the closet at bedtime. Which one of the following statements should the nurse make?

Correct Answer is C

Explanation

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