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

Answer and Explanation

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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Correct Answer is C

Explanation

A. Blaming the family may increase the child's sense of guilt or shame. It's important to focus on supporting the child rather than blaming the family outright.

B. Promising not to tell anyone may compromise the child's safety. Reporting abuse is essential to protect the child.

C. Affirming that it is not the child's fault helps to alleviate potential feelings of guilt or responsibility. This statement supports the child emotionally.

D. Discussing the incident with the family directly may not be safe for the child. Reporting suspicions of abuse to the appropriate authorities is necessary.

A. "Why does it bother you that your child has wet the bed?" B. "Your child did not seem upset, so I wouldn't worry about it if I were you." C. "It is expected for children who are hospitalized to regress. The toileting skills will return when your child is feeling better." D. "I know this can really be embarrassing. I have kids myself, so I understand, and it doesn't bother me."

Correct Answer is C

Explanation

A. This response may come across as confrontational and may not address the parent's concerns effectively.

B. Dismissing the parent's worry may not be helpful in addressing their concerns and emotions.

C. Hospitalization can be a stressful experience for children, and regression in toileting skills is a common response. Providing reassurance that this is expected can help alleviate the parent's
embarrassment and anxiety.

D. Expressing understanding and empathy is good, but it does not provide information about the expected regression in toileting skills during hospitalization.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who has been physically abused by a family member. Which of the following statements should the nurse say to the child?

Correct Answer is C

Explanation

A nurse is caring for a 4-year-old child who has croup and wet the bed overnight. When the parents visit the next day, the nurse explains the situation and one of the parents says, "She never wets the bed at home. I am so embarrassed." Which of the following responses should the nurse make?

Correct Answer is C

Explanation

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