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 ["A","B","C","E"]

Explanation

a) High fever: Commonly associated with upper urinary tract infections such as pyelonephritis.

b) Nausea and vomiting: These symptoms often accompany pyelonephritis due to the systemic inflammatory response.

c) Abdominal pain: It's a common symptom of pyelonephritis due to the kidney involvement.

d) Abdominal distension: This symptom is less typically associated with pyelonephritis.

e) Costovertebral angle tenderness: Often present in pyelonephritis due to kidney inflammation.

A. Immediately packing the nares with cotton with neo-synephrine B. Tilting the child’s head forward, squeezing below the nasal bone, and applying ice to the nose C. Tilting the child’s head back, squeezing the bridge of the nose, and applying a warm pack to the nose D. Lying the child down and applying a warm pack

Correct Answer is B

Explanation

a) Immediately packing the nares with cotton with neo-synephrine: Packing the nose immediately is not usually recommended as a first aid measure and should be done by a healthcare professional.

b) Tilting the child’s head forward, squeezing below the nasal bone, and applying ice to the nose: Correct first aid for epistaxis involves tilting the head forward to prevent swallowing of blood, applying pressure below the nasal bone, and using ice to constrict blood vessels.

c) Tilting the child’s head back, squeezing the bridge of the nose, and applying a warm pack to the nose: Tilting the head back can cause blood to flow down the throat and potentially lead to swallowing or choking on blood.

d) Lying the child down and applying a warm pack: Lying down may increase the risk of swallowing blood and should be avoided during a nosebleed.

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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

A 14 year old female presents to the clinic with possible upper UTI (pyelonephritis). What symptoms would you expect to see with this diagnosis?

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

Explanation

A child has epistaxis while at school. Which intervention by the school nurse is appropriate?

Correct Answer is B

Explanation

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