When obtaining a history from the father of a 9-year-old boy with rheumatic fever, the nurse recognizes that the most significant information related to the diagnosis is:

Had an upper respiratory infection with a sore throat about 3 weeks ago.

Suffered chest trauma with a fractured rib after a bicycle accident 2 weeks ago.

The child was born with a heart defect that was repaired at 6 months of age.

Has had a decreasing appetite over the course of several months.

Answer and Explanation

The Correct Answer is A

Choice A reason: This is the correct choice. Rheumatic fever is often preceded by an upper respiratory infection caused by group A Streptococcus, which can lead to a sore throat.
Choice B reason: Chest trauma and a fractured rib are not related to the development of rheumatic fever.
Choice C reason: Although a pre-existing heart defect can increase the risk of complications, it is not the cause of rheumatic fever.
Choice D reason: A decreasing appetite over several months is not specifically indicative of rheumatic fever.

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Correct Answer is B

Explanation

Choice A reason: This statement is incorrect and could potentially increase feelings of guilt, as a lack of prenatal care is not a known cause of autism.

Choice B reason: This statement is accurate and can help alleviate guilt by explaining that autism is not caused by something the parents did or did not do.

Choice C reason: While it's true that parents without genetic testing could not have known, this statement does not address the feelings of guilt regarding causation.

Choice D reason: This statement is misleading because autism is not considered rare, and siblings can have an increased risk of autism spectrum disorders. It does not provide accurate information or address the parents' feelings of guilt.

A. "The father has the trait, but the mother doesn’t." B. "The mother has the trait, but the father doesn’t." C. "Both the mother and the father have the sickle cell trait." D. "The mother has sickle cell disease, but the father doesn't have the disease or the trait."

Correct Answer is C

Explanation

Choice A reason: This option is incorrect because sickle cell disease is an inherited condition, and one parent having the trait is not sufficient for a child to have the disease.
Choice B reason: This option is also incorrect for the same reason as choice A; both parents must carry the trait for the child to have a chance of inheriting the disease.
Choice C reason: This is the correct choice. Sickle cell disease is inherited when both parents carry the sickle cell trait, giving their child a 25% chance of having the disease.
Choice D reason: This option is incorrect because if only one parent has sickle cell disease and the other has neither the disease nor the trait, the child cannot have sickle cell disease.

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When obtaining a history from the father of a 9-year-old boy with rheumatic fever, the nurse recognizes that the most significant information related to the diagnosis is:

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Naxlex Comprehensive Predictor Exams

Which statement by the nurse would best help alleviate parental guilt about their child, George, who has been recently diagnosed with autism?

Correct Answer is B

Explanation

A child is diagnosed with sickle cell disease. The parents are unsure how their child contracted the disease. Which explanation by the nurse is the most appropriate?

Correct Answer is C

Explanation

When caring for a four-year-old who has been admitted to the hospital after having a febrile seizure, which of the following statements should be included when educating the parents? Select the two responses that apply:

Which of the following is NOT a risk factor for pediatric mental health disorders such as Attention Deficit Disorder (ADD)/ADHD?

According to developmental theories, which important event is essential in the development of the toddler?

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A client presents with the onset of a severe headache, fever, nuchal rigidity, and a petechial rash on arms and legs. The nurse recognizes the client is exhibiting symptoms of which condition?

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