A 6-year-old child is diagnosed with rheumatic fever and demonstrates associated chorea (sudden aimless movements of the arms and legs). Which information should the nurse provide to the parents?

Permanent life-style changes need to be made to promote safety in the home.

Muscle tension is decreased with fine motor skill projects, so these activities should be encouraged

Consistent discipline is needed to help the child control the movements.

The chorea or movements are temporary and will eventually disappear.

Answer and Explanation

The Correct Answer is D

Choice A: Permanent lifestyle changes may not be necessary for a child with rheumatic fever and associated chorea. Rheumatic fever is typically treated with antibiotics to clear the streptococcal infection and prevent further complications.

Choice B: Muscle tension is not typically decreased with fine motor skill projects, and encouraging such activities may not directly address the symptoms of chorea. Fine motor activities can be pursued if they are enjoyable for the child but should not be presented as a primary treatment.

Choice C: Consistent discipline is important for children but may not be the primary focus when addressing chorea associated with rheumatic fever. Discipline should be appropriate and consistent but should not be the primary intervention for chorea.

Choice D: The chorea or movements are temporary and will eventually disappear. This is the most accurate and reassuring information to provide to the parents. Chorea associated with rheumatic fever typically resolves over time with appropriate treatment, and the child is expected to recover fully.

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Free Nursing Study Resources

Correct Answer is ["A","B","F"]

Explanation

Choice A: Confirming information from the solution label is essential to ensure that the correct parenteral nutrition solution is being administered.

Choice B: Confirming the healthcare provider's prescription is critical to verify the type, rate, and duration of the parenteral nutrition therapy, as well as any specific additives or electrolyte requirements.

Choice C: The medication administration record (MAR) is not directly related to parenteral nutrition, so it is not a primary source of information for this specific procedure.

Choice D: Measured residual volume is relevant for enteral nutrition administration but is not applicable to parenteral nutrition.

Choice E: The dietitian's progress notes may provide valuable information about the client's overall nutrition plan but are not the primary source for confirming the immediate administration of a specific parenteral nutrition solution.

Choice F: Confirming the client's identification band is essential to ensure the correct client receives the parenteral nutrition and to prevent errors in administration.

A. Pretzels B. Avocado C. Potatoes D. Grapes

Correct Answer is B

Explanation

Choice A: Pretzels are a carbohydrate-rich snack with a high glycemic index, which can lead to spikes in blood glucose levels. Choosing pretzels does not indicate a good understanding of the diet teaching to avoid refined sugar and carbohydrates.

Choice B: Avocado is a healthy choice for a client with Type 2 diabetes mellitus (DM) who wants to avoid refined sugar and carbohydrates. Avocado is a source of healthy fats, fiber, and other nutrients and has a low glycemic index.

Choice C: Potatoes are starchy vegetables that are high in carbohydrates, particularly when prepared in ways like mashed potatoes or fries. Choosing potatoes does not align with the goal of avoiding refined sugar and carbohydrates.

Choice D: Grapes are a fruit that contains natural sugars, and consuming them can affect blood glucose levels. Choosing grapes does not demonstrate an understanding of the need to avoid refined sugar and carbohydrates.

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A 6-year-old child is diagnosed with rheumatic fever and demonstrates associated chorea (sudden aimless movements of the arms and legs). Which information should the nurse provide to the parents?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Before administering a parenteral nutrition solution through a central vein, the nurse should confirm information from which sources? (Select all that apply)

Correct Answer is ["A","B","F"]

Explanation

The nurse instructs a client with Type 2 diabetes mellitus (DM) to avoid refined sugar and carbohydrates. Choosing which food indicates that the client understands the diet teaching?

Correct Answer is B

Explanation

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