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 C

Explanation

A. This statement does not directly relate to meeting the nutritional needs of an infant with heart failure. Also, setting a specific time limit on crying before feeding may not always be practical or effective.
B. Infants with heart failure may have increased energy needs due to the increased work of the heart. Feeding on demand or more frequently may be necessary to meet the infant's nutritional requirements.
C. In heart failure, infants may tire easily during feeding due to fatigue from poor cardiac function. Allowing the baby to feed at their own pace can help prevent exhaustion and ensure adequate intake.
D. Polycose is a carbohydrate supplement that may be used to increase the caloric density of formula or breast milk for infants with heart failure who require additional calories. Adding Polycose to every bottle may not be appropriate.

A. Insert the needle at a 15° angle. B. Insert the needle just below the acromion process. C. Use a 20-gauge needle. D. Use a 1.8 mm (0.5 in) needle.

Correct Answer is D

Explanation

A. 15 angle is for intradermal injection not for intramuscular
B. The needle should be inserted into the middle third of the deltoid muscle, which is typically 2 to 3 finger widths below the acromion process.
C. A smaller gauge needle, such as 22 or 23, is often used for pediatric vaccinations to minimize discomfort. This should, however, be adjusted accordingly based on individual characteristics
D. Ashorter needle length, such as 1.8 mm (0.5 in), is typically appropriate for pediatric deltoid injections to avoid deep penetration

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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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?