Which of the following is a major clinical manifestation of rheumatic fever (RF)?
Janeway spots
Polyarthritis 5 + joints
Vomiting
Oster nodes
The Correct Answer is B
a) Janeway spots: Janeway lesions are painless, small, erythematous or hemorrhagic macules found on the palms or soles, characteristic of infective endocarditis, not typically associated with rheumatic fever.
b) Polyarthritis 5 + joints: Polyarthritis involving multiple joints, often migrating, is a major manifestation of acute rheumatic fever.
c) Vomiting: While nausea and vomiting can occur, they are not specific to rheumatic fever.
d) Oster nodes: Osler nodes are tender nodules found in infective endocarditis, not typically seen in rheumatic fever.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
a) Attending late-night parties and dances might not be directly related to SLE unless it interferes with sleep and rest, which are important for managing the condition.
b) Sun exposure can trigger lupus flares, so activities involving prolonged sun exposure should be avoided or practiced with precautions like sunscreen and protective clothing.
c) Manicures and pedicures typically do not exacerbate SLE unless they involve harsh chemicals that might trigger skin reactions.
d) Daily hair shampoos, unless they contain harsh chemicals or irritants, may not directly exacerbate SLE symptoms.
Correct Answer is A
Explanation
a) Red, currant, jelly-like stools: This is a classic indication of intussusception due to the presence of blood and mucus in the stool, a result of intestinal obstruction and ischemia.
b) Absent bowel sounds: Can occur but are not specific to intussusception.
c) Hematemesis: Vomiting blood is not a characteristic sign of intussusception.
d) Bilious emesis: While indicative of gastrointestinal issues, it's not the cardinal sign of intussusception.
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