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

Explanation

Choice A reason: This is the correct choice. Hypopituitarism often results in short stature due to a deficiency in growth hormone.
Choice B reason: Precocious puberty is not typically associated with hypopituitarism; it is more often related to excess hormone production.
Choice C reason: Progressive linear growth retardation after normal growth in the first five years is not characteristic of hypopituitarism.
Choice D reason: While stunted growth can occur, hypopituitarism specifically affects height due to growth hormone deficiency, and weight may not be equally affected.

A. Adolescence B. Infant C. Preschool-age D. School-age

Correct Answer is C

Explanation

Choice A reason: Adolescents are capable of more complex thinking and are less likely to view illness as a punishment for misdeeds.

Choice B reason: Infants do not have the cognitive ability to associate illness with punishment.

Choice C reason: This is the correct choice. Preschool-age children often engage in magical thinking and may view illness as a punishment for misdeeds.

Choice D reason: School-age children are beginning to understand the biological causes of illness and are less likely to view it as a punishment.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following best describes hypopituitarism?

Correct Answer is A

Explanation

When developing a plan of care for a hospitalized child, the nurse knows that children in which age group are most likely to view illness as a punishment for misdeeds?

Correct Answer is C

Explanation

When admitting a child with suspected type 1 diabetes mellitus (DM), which of the following questions should the nurse ask the parents?

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The nurse is performing the initial assessment of a child newly diagnosed with Kawasaki disease. Which symptoms would the nurse expect to assess with this child?

Immunization of children with Haemophilus influenzae type B (Hib) vaccine decreases the incidence of which of the following conditions?

What is the primary nursing concern for an 8-year-old child with Type 1 diabetes who asks his mother not to tell anyone at school that he has diabetes?

What is the most likely cause of a 12-month-old's persistent diaper rash, characterized by perianal inflammation with bright red scaly plaques, small papules, and satellite lesions?

A postoperative client reports incisional pain. The client has two prescriptions for PRN analgesia that accompanied the client from the postanesthesia unit. Before selecting which medication to administer, which action should the nurse implement?

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: