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 ["A","C","D"]

Explanation

Choice A reason: This statement is not typically accurate; anti-seizure medications are not usually required for children who have had febrile seizures.
Choice B reason: There is no strong evidence that febrile seizures increase the risk for developmental delays.
Choice C reason: This is one of the correct choices. Antipyretics can help manage fever and may reduce the likelihood of a febrile seizure.
Choice D reason: This is one of the correct choices. Most children who experience febrile seizures do not have long-term effects or develop epilepsy.

A. Disturbed Body Image related to physical appearance B. Ineffective Airway Clearance related to edema C. Risk for Infection related to epidermal damage D. Impaired Urinary Elimination related to fluid loss

Correct Answer is B

Explanation

Choice A reason: While a disturbed body image can impact psychological well-being, it is not the immediate priority in the acute phase of burn management.

Choice B reason: Ineffective airway clearance due to edema from burns to the face and chest poses an immediate threat to life, requiring urgent attention to maintain breathing.

Choice C reason: The risk for infection is a significant concern due to epidermal damage; however, it follows airway management in terms of immediate priorities.

Choice D reason: Impaired urinary elimination may occur due to fluid shifts after burns, but ensuring effective airway clearance is the most critical initial step in care.

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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

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:

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

Explanation

Which nursing diagnosis takes priority for a 15-year-old child with third-degree burns of the hands, face, and chest?

Correct Answer is B

Explanation

A 6-year-old child has been sent to the school nurse for wetting her pants three times in the past 2 days. The nurse should recommend that this child be evaluated for which complication first?

A 6-month-old male is at his well-child checkup. The nurse weighs him, and his mother asks if his weight is normal for his age. The nurse's best response is:

A school-age client diagnosed with autism is admitted to the hospital because of recent vomiting and diarrhea. Which intervention by the nurse is most appropriate upon admission?

The nurse is preparing an older client for a magnetic resonance imaging (MRI) with contrast. Which laboratory value should the nurse report to the healthcare provider before the scan is performed?

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:

A mother brings her two-year-old child to the pediatric office for a sick visit. The child is seen regularly at the office and was last seen at her well-child visit two months ago. Based on this information, which is the most appropriate action by the nurse?

Which nursing intervention is most developmentally appropriate for a toddler with a birth injury of a torn brachial plexus that resulted in muscle atrophy and weakness of the right arm?

Which of the following is of primary importance for a child who is admitted to the PICU for DKA (diabetic ketoacidosis)?