A nurse is obtaining a health history from a child who has suspected acute rheumatic fever. Which of the following questions should the nurse ask?
"Was your son born with this cardiac defect?"
"Has your child had any injuries recently?"
"Have you given your child aspirin in the past 2 weeks?"
"Has your son had a sore throat recently?"
The Correct Answer is D
A. This question is not relevant to the assessment for acute rheumatic fever. ARF is not a congenital cardiac defect but rather an acquired condition resulting from an abnormal immune response to a streptococcal infection.
B. Injuries are not typically associated with the development of acute rheumatic fever. ARF is primarily triggered by an untreated or inadequately treated streptococcal infection, particularly streptococcal pharyngitis.
C. Aspirin use is not a specific question related to the assessment of acute rheumatic fever. Aspirin therapy may be indicated for managing symptoms of ARF, but it is not a diagnostic criterion for the condition.
D. Acute rheumatic fever (ARF) is an autoimmune condition affecting the heart, joints, skin, and central nervous system. It follows an untreated or inadequately treated group A streptococcal infection, particularly streptococcal pharyngitis (strep throat).
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Pulling themselves up to a standing position is a motor milestone that is typically achieved around 9- 12 months of age. While delays in motor milestones can sometimes be concerning, they are not specific signs of autism at this age.
B. Autism is primarily characterized by social communication and interaction difficulties, as well as restricted and repetitive behaviors. At 10 months old, infants typically start to engage in social interactions, including making eye contact with caregivers
C. Parallel play is where children play alongside each other without interacting directly, is a social milestone that typically develops around 2-3 years of age.
D. Growth below the 5th percentile may indicate poor growth or failure to thrive, but it is not a specific behavioral sign of autism.
Correct Answer is A
Explanation
The practice as it helps prevent the backflow of stomach contents into the esophagus, which is beneficial for infants with gastroesophageal reflux.
B. This statement does not necessarily indicate an understanding of the teaching. Breast milk or formula can be used for infants with reflux; however, some formulas are designed to be easier to digest or less likely to cause reflux.
C. This is not generally recommended for infants with reflux. The safest position for all infants, including those with reflux, is on their back to reduce the risk of sudden infant death syndrome (SIDS).
D. This may be recommended in some cases to help reduce the symptoms of reflux. However, it's important to do this under the guidance of a healthcare provider to ensure it's done safely and appropriately. Thickening formula should be done with caution as it can increase the risk of choking.
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