Which action should the nurse include in a community health program to decrease the incidence of rheumatic fever?

Teach community members to seek medical treatment for streptococcal pharyngitis.

Teach about prophylactic antibiotics to those with family history of rheumatic fever.

Vaccinate high-risk groups in the community with streptococcal vaccine.

Teach about the importance of monitoring temperature when sore throats occur.

Answer and Explanation

The Correct Answer is A

A.   Rheumatic fever is a complication that can arise from untreated or inadequately treated streptococcal pharyngitis (strep throat). Educating community members about the importance of seeking medical treatment for strep throat is crucial because timely antibiotic treatment can prevent the development of rheumatic fever.
B.   Prophylactic antibiotics are often recommended for individuals who have had rheumatic fever or have a family history of the condition to prevent recurrence. While this is important for secondary prevention in high-risk individuals, it is more of a targeted approach rather than a broad community health strategy.
C.   Currently, there is no widely available vaccine specifically for streptococcal infections or rheumatic fever. Research is ongoing, but no vaccine has been proven effective and available for general use in preventing streptococcal infections.
D.   Monitoring temperature during a sore throat can help identify an infection, but it does not directly address the prevention of rheumatic fever. The key issue is ensuring that sore throats are evaluated and treated appropriately to prevent complications like rheumatic fever.

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Correct Answer is ["B","C","E"]

Explanation

A. Furosemide is a loop diuretic used to manage fluid overload, often seen in conditions like heart failure. While it can be helpful for patients with heart failure or fluid retention, it is not a primary medication for the acute management of STEMI.
B. Nitroglycerin is a vasodilator used to relieve chest pain and reduce myocardial oxygen demand by decreasing the workload of the heart. It is commonly administered to patients with STEMI to manage angina and help improve blood flow to the heart.
C. Aspirin is a crucial medication in the management of STEMI. It works by inhibiting platelet aggregation, which helps to prevent further clot formation in the coronary arteries. Aspirin is typically given as soon as a myocardial infarction is diagnosed to minimize the extent of heart damage and reduce the risk of further thrombotic events.
D. Penicillin is an antibiotic used to treat bacterial infections. It is not used in the management of STEMI because myocardial infarctions are not caused by bacterial infections. Penicillin would not be relevant for treating or managing a STEMI.
E. Morphine is an opioid analgesic used to relieve severe pain associated with STEMI. It helps reduce pain, anxiety, and myocardial oxygen demand by causing vasodilation. It also helps manage symptoms and improve patient comfort.

A. "Have you had any recent immunizations?" B. "Is there a family history of endocarditis? C. "Do you have a history of a heart attack?" D. "Have you had dental work done recently?"

Correct Answer is D

Explanation

A. While immunizations are important for overall health and preventing various infections, they are not directly related to the risk of infective endocarditis. This question is less relevant to identifying specific risk factors for IE. However, it's worth noting that certain vaccines might be recommended for individuals with certain heart conditions, but this does not directly relate to the risk of IE.
B. A family history of endocarditis may be relevant for understanding genetic or inherited predispositions to heart conditions. However, infective endocarditis is more commonly associated with specific activities or medical procedures rather than family history.
C. A history of a heart attack (myocardial infarction) can contribute to heart disease, but it is not a direct risk factor for infective endocarditis. Infective endocarditis is typically related to infections and procedures that introduce bacteria into the bloodstream, rather than a history of heart attack.
D. This is the most relevant question for identifying a risk factor for infective endocarditis. Dental procedures are a well-known risk factor for IE because they can introduce bacteria into the bloodstream, particularly if the procedures cause bleeding.

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Which action should the nurse include in a community health program to decrease the incidence of rheumatic fever?

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Naxlex Comprehensive Predictor Exams

A patient has been diagnosed with ST-elevated myocardial infarction. The nurse anticipates administering which of the following medications? (Select All that Apply.)

Correct Answer is ["B","C","E"]

Explanation

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Correct Answer is D

Explanation

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Which action should the nurse include in a community health program to decrease the incidence of rheumatic fever?