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?"

Answer and Explanation

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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Correct Answer is B

Explanation

A. Thick yellow crusted lesion on a red base are characteristic of impetigo.

B. Pediculosis capitis (head lice infestation) presents with itching and scratching of the head due to the allergic reaction to the saliva of the lice. While other conditions may present with similar symptoms, itching and scratching are classic signs of head lice infestation.

C. Firmly attached white particles on the hair are indicative of nits (lice eggs).

D. Patchy areas of hair loss may be seen in conditions like alopecia areata or fungal infections but are not specific to pediculosis capitis.

A. A child recovering from a ruptured appendix B. A child who has cystic fibrosis C. A child who has rheumatic fever D. A child who has nephrotic syndrome

Correct Answer is D

Explanation

A child with nephrotic syndrome is not infectious and therefore, does not pose a significant risk of infection to the child

A child recovering from a ruptured appendix may still carry an infection posing a risk of life threatening infection to the child with leukemia.

Although rheumatic fever occurs several days after the active streptococcal infection starts, a child with rheumatic fever still poses a risk of infection to the child with leukemia.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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