A nurse is caring for a child who has rheumatic fever. When obtaining the child's medical history from the parent, the nurse should recognize the significance of which of the following data as the possible source of the child's infection?
The father who had gastritis 2 weeks ago
A neighbor's child who has chickenpox
A sibling who had a sore throat 3 weeks ago
A classmate who has fifth disease
The Correct Answer is C
A. Gastritis is not an infectious condition and is unlikely to be the source of the child's rheumatic fever.
B. Chickenpox is caused by a different pathogen (varicella-zoster virus) and is not associated with the development of rheumatic fever.
C. Rheumatic fever often follows untreated or inadequately treated streptococcal infections, particularly streptococcal pharyngitis (sore throat). A sibling with a recent sore throat is a significant piece of information.
D. Fifth disease is caused by parvovirus B19 and is not known to be a precursor to rheumatic fever.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Ignoring temper tantrums may not be effective in all situations. Some toddlers may escalate their behavior if they feel ignored.
B. Explicitly telling the child that temper tantrums are not acceptable may not be as effective in managing the behavior. Toddlers may not fully understand or respond well to verbal reasoning.
C. Distracting the child with a different activity, such as playing a game, can redirect their attention and help diffuse the situation.
D. Physical restraint is not an appropriate or effective method for managing temper tantrums. It can lead to increased resistance and may cause harm to the child.
Correct Answer is A
Explanation
A. Tugging or pulling at the ear is a common sign in children with otitis media and may indicate ear pain.
B. Pain when manipulating the affected earlobe is expected in otitis media due to inflammation and infection of the middle ear.
C. Erythema and edema of the affected ear are typical findings in otitis media, indicating inflammation.
D. Clear drainage is not a typical finding in otitis media. Drainage, if present, is more likely to be purulent or serosanguinous.
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