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 D

Explanation

A. Administer at mealtimes is incorrect. Taking iron supplements with food can decrease absorption. It is best to take them on an empty stomach if possible, but if gastrointestinal upset occurs, the medication can be taken with food.

B. Administer at bedtime is incorrect. Iron supplements are generally not recommended to be taken at bedtime due to potential gastrointestinal upset that might disturb sleep.

C. Give with a 240 mL (8 oz) glass of milk is incorrect. Milk can reduce the absorption of iron, so it is not recommended to take ferrous sulfate with milk.

D. Give with orange juice is correct. Vitamin C (found in orange juice) enhances the absorption of iron, so it is a good choice to help increase the effectiveness of the supplement.

A. Poor fluid intake B. Increased pain C. Drooling D. Frequent swallowing

Correct Answer is D

Explanation

A. Poor fluid intake may be a concern postoperatively, but it is not a specific manifestation of hemorrhage.

B. Increased pain is expected after a tonsillectomy, especially in the immediate postoperative period, but it is not a specific sign of hemorrhage.

C. Drooling is not related to haemorrhage post tonsillectomy.
D. This symptom may indicate that the child is swallowing blood that is oozing from the surgical site. It is important for healthcare providers to recognize this sign promptly as post-tonsillectomy hemorrhage can be a serious complication requiring immediate attention.

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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 in a pediatric clinic is caring for a child who has iron deficiency anemia and a new prescription for ferrous sulfate tablets. Which of the following instructions should the nurse provide the parents regarding administration of this medication?

Correct Answer is D

Explanation

A nurse is assessing a child who is postoperative following a tonsillectomy. Which of the following findings is a manifestation of hemorrhage?

Correct Answer is D

Explanation

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A nurse in a PACU is admitting a client who is postoperative following a tonsillectomy. Which of the following actions should the nurse plan to take to prevent aspiration?

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