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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Water alone may not provide the necessary electrolytes and sugars to help rehydrate the child effectively.
B. Oral rehydration solution is specifically designed to replace fluids and electrolytes lost during episodes of diarrhea or vomiting. It is the recommended choice for managing dehydration due to acute gastroenteritis.
C. Broth may provide some fluid but lacks the optimal balance of electrolytes and sugars found in oral rehydration solutions.
D. Diluted apple juice may not be as effective as an oral rehydration solution in replacing electrolytes and preventing dehydration.
Correct Answer is B
Explanation
A. Squamous cell carcinoma is a type of cancer and typically presents as a persistent sore or ulcer, not as a white, milky plaque.
B. Candidiasis, also known as oral thrush, can occur in immunocompromised individuals, especially those on antibiotics, immunosuppressants, and corticosteroids. The white, milky plaque that does not come off with rubbing is characteristic of candidiasis.
C. Herpes simplex can cause painful oral lesions, but it usually presents as vesicles that rupture to form ulcers.
D. Dermatitis refers to inflammation of the skin and is not typically associated with white plaques in the mouth.
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