Molly, with suspected rheumatic fever, is admitted to the pediatric unit. When obtaining the child's history, the nurse considers which information to be most
Vomiting for 2 days
A recent episode of pharyngitis
Lack of interest in food
A fever that started 3 days ago
The Correct Answer is B
When obtaining the history of a child with suspected rheumatic fever, the nurse should consider the following information to be most significant:
B. A recent episode of pharyngitis.
Explanation:
Rheumatic fever often follows an untreated or inadequately treated streptococcal pharyngitis (strep throat) infection caused by Group A Streptococcus bacteria. Therefore, a recent episode of pharyngitis is a key piece of information in the context of rheumatic fever. It is important to assess whether the child had a sore throat, fever, and other symptoms of streptococcal infection that may have triggered the development of rheumatic fever.
While the other symptoms (vomiting, lack of interest in food, fever) may be important for the overall assessment and management of the child, they are not as directly associated with the development of rheumatic fever as a recent episode of pharyngitis caused by Group A Streptococcus. Rheumatic fever is an autoimmune response to untreated streptococcal infection, and its diagnosis is often linked to the presence of preceding streptococcal pharyngitis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is E
Explanation
Infective endocarditis is an infection of the inner lining of the heart chambers and valves. One of the hallmark signs of infective endocarditis is fever, often accompanied by other symptoms such as fatigue, chills, and joint pain. A persistent fever in a child, especially when associated with other signs or symptoms like new heart murmurs or petechiae (small red or purple spots on the skin), can be concerning for infective endocarditis.
The other symptoms and findings listed (proteinuria, ESR, weight gain, hemoglobin levels) are not specific to infective endocarditis and may have other potential causes or interpretations. It is important to consider a comprehensive clinical evaluation and laboratory tests when assessing a child with suspected infective endocarditis.
Correct Answer is ["480"]
Explanation
To calculate the total volume the patient will receive, you can use the formula:
Total Volume = Rate x Time
In this case, the rate is 20 mL/hr, and the time is 24 hours. Now, calculate:
Total Volume = 20 mL/hr x 24 hr = 480 mL
So, the patient will receive a total of 480 mL of the 0.9% NS solution.
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