A nurse would expect a client with rheumatic fever to have which manifestations on assessment?

Polyarthritis.

Carditis.

Janeway lesions.

Subcutaneous nodules.

Cervical lymphadenopathy.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Polyarthritis is a manifestation of rheumatic fever, but it is not the primary manifestation. The main manifestation is carditis, involving inflammation of the heart's valves and structures.

Choice B rationale:

Carditis is a hallmark manifestation of rheumatic fever. It involves inflammation of the heart's valves and structures, leading to murmurs and potential long-term cardiac damage.

Choice C rationale:

Janeway lesions are not associated with rheumatic fever. They are painless, small erythematous or hemorrhagic macules on the palms and soles, typically seen in infective endocarditis.

Choice D rationale:

Subcutaneous nodules are not a primary manifestation of rheumatic fever. These nodules, which are firm and nontender, may develop over bony prominences in cases of severe rheumatic fever.

Choice E rationale:

Cervical lymphadenopathy is not a characteristic manifestation of rheumatic fever. This type of lymphadenopathy is more commonly seen in infections or lymphatic malignancies.

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Correct Answer is ["C","D"]

Explanation

Choice A rationale:

The varicella vaccine is not contraindicated solely based on Down Syndrome. It is important for these children to receive immunizations due to potential increased susceptibility to infections.

Choice B rationale:

A 6-month-old developmentally appropriate infant should receive the varicella vaccine according to the recommended schedule. There is no contraindication for this population.

Choice C rationale:

The varicella vaccine might be contraindicated for a child with autism due to concerns about adverse reactions, as these children might have sensitivities to certain vaccine components.

Choice D rationale:

The varicella vaccine should be contraindicated for a 10-year-old with acquired immune deficiency syndrome (AIDS) due to their compromised immune system. Live vaccines like varicella are usually avoided in immunocompromised individuals.

Choice E rationale:

A 12-year-old child with an arm fracture can still receive the varicella vaccine as it is not contraindicated based solely on this condition.

A. Obtaining an order to have an indwelling urinary catheter inserted. B. Weighing the patient's wet diapers prior to discarding them. C. Sitting the patient on the bedpan at least every two hours. D. Applying a pediatric urine collection device over the patient's urinary meatus.

Correct Answer is B

Explanation

Weighing the patient's wet diapers prior to discarding them.

Choice A rationale:

Inserting an indwelling urinary catheter is invasive and not appropriate for a non-toilet-trained 2-year-old unless medically necessary.

Choice B rationale:

Weighing wet diapers is the most accurate way to measure urine output in a young child who isn't toilet trained. This method provides essential information for assessing hydration and kidney function.

Choice C rationale:

Sitting the patient on the bedpan every two hours is suitable for older children but may not be effective or tolerable for a 2-year-old.

Choice D rationale:

Applying a pediatric urine collection device is an option, but it might not be as accurate as weighing wet diapers and may cause discomfort for the child.

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A nurse would expect a client with rheumatic fever to have which manifestations on assessment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

For which clients would the varicella (chickenpox) vaccine be contraindicated? Select all that apply.

Correct Answer is ["C","D"]

Explanation

The nurse is to record the intake and output of a 2-year-old patient. The patient is not toilet trained. Which measure would be most appropriate to include in the patient's plan of care?

Correct Answer is B

Explanation

The nurse is caring for a 2-year-old patient. Which observation requires immediate action by the nurse?

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