Which of the following actions by the school nurse is important in the prevention of rheumatic fever (RF)?

Refer children with sore throats for throat cultures

Conduct routine blood pressure screenings

Recommend salicylates instead of ibuprofen for minor discomforts

Encourage routine cholesterol screenings

Answer and Explanation

The Correct Answer is A

a) Refer children with sore throats for throat cultures: Early detection and treatment of Group A streptococcal infections are crucial in preventing rheumatic fever. Throat cultures help identify the presence of streptococcal bacteria.

b) Conduct routine blood pressure screenings: While important for other health concerns, blood pressure screenings are not directly related to preventing rheumatic fever.

c) Recommend salicylates instead of ibuprofen for minor discomforts: Salicylates are not the primary intervention for preventing rheumatic fever; prompt antibiotic treatment for streptococcal infections is key.

d) Encourage routine cholesterol screenings: Cholesterol screenings are unrelated to the prevention of rheumatic fever.

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

Explanation

a) Eupnea: Normal breathing rate and pattern, not indicative of distress.

b) Apnea: Cessation of breathing, a sign of significant distress.

c) Tachypnea: Rapid breathing, often seen in respiratory distress.

d) Wheezing: High-pitched, musical sounds during expiration, suggesting airway obstruction.

e) Grunting: Heard during expiration, a sign of the body's attempt to keep air in the lungs, indicating distress.

f) Retractions: Visible sinking of tissues between ribs or at the sternum, indicating increased effort to breathe, a sign of distress.

A. Decrease the amount of potassium in the diet B. Administer non-live virus vaccine C. Limit activity and receive home schooling D. Monitor for seizure activity

Correct Answer is B

Explanation

a) Decrease the amount of potassium in the diet: Steroids can increase potassium loss, so restricting potassium intake is unnecessary and could potentially exacerbate hypokalemia.

b) Administer non-live virus vaccine: Generally acceptable as live-virus vaccines are contraindicated in individuals receiving high-dose steroids due to the risk of developing infections.

c) Limit activity and receive home schooling: While rest might be needed in some situations, home schooling might not always be necessary.

d) Monitor for seizure activity: While monitoring for adverse effects is important, it is not specifically related to the use of high-dose steroids.

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Which of the following actions by the school nurse is important in the prevention of rheumatic fever (RF)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which breath sounds indicate the infant is experiencing respiratory distress? (Select All That Apply: SATA)

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

Explanation

Which intervention is appropriate for a child receiving a high dose of steroids?

Correct Answer is B

Explanation

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