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

Explanation

a) Plan a movie afternoon with the child’s big brother: While valuable for family bonding, it's not directly related to health promotion activities.

b) Maintain appropriate immunizations: Ensuring the child is up-to-date with vaccinations is a crucial aspect of health promotion for children, preventing various illnesses.

c) Teach the child the proper method for brushing the teeth: Important for oral health but not the highest priority among health promotion activities.

d) Make arrangements to tour the kindergarten in which the child will enroll next year: Helpful for the child's future transition to kindergarten but not a direct health promotion activity.

A. Oropharynx B. Language development C. Serosanguinous drainage D. Cranial nerve function

Correct Answer is D

Explanation

a) Oropharynx: While important for general health, in conductive hearing loss, assessing the oropharynx might not directly correlate.

b) Language development: Relevant to assess in the context of hearing loss, but not the most immediate concern in this scenario.

c) Serosanguinous drainage: Typically associated with nasal or ear infections but may not directly relate to conductive hearing loss.

d) Cranial nerve function: Conductive hearing loss can be related to issues in the middle ear or ossicles, making cranial nerve function assessment pertinent to evaluate hearing loss mechanisms.

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

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