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 A
Explanation
A. Crushed ice is a cold and soothing option that can help reduce throat discomfort after tonsillectomy. It also provides hydration without irritation.
B. Orange juice is acidic and may cause discomfort or irritation to the surgical site. It is not recommended immediately after a tonsillectomy.
C. A vanilla milkshake may be too thick and could be irritating to the surgical site. Additionally, dairy products may increase mucus production.
D. Cranberry juice is acidic and may cause irritation to the surgical site. It is not the best choice for immediate postoperative hydration after tonsillectomy.
Correct Answer is A
Explanation
A. Separation anxiety is a normal developmental milestone that typically peaks around 8 months of age. It is a sign of healthy attachment and is expected during this stage of infancy.
B. While overstimulation can cause distress in some children, the scenario presented is more indicative of separation anxiety.
C. Overexposure to caregivers is not a recognized cause of the described behavior. Instead, it is a manifestation of the child's attachment to the primary caregiver.
D. The behavior described is more consistent with separation anxiety than illness. Illness-related distress would likely involve other signs and symptoms.
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