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).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
This action helps prevent aspiration by allowing any fluids to drain out of the mouth and minimizing the risk of airway obstruction. Placing the child on their side also reduces the risk of injury during the seizure.
B. Inserting objects into the mouth during a seizure is not recommended as it can cause injury to the child's teeth, gums, or tongue.
C. Attempting to stop the seizure: Nurses should not attempt to stop the seizure as it is a neurological event beyond their control. Seizure control is done through short acting antiseizures.
D. Restraining the child's arms can lead to injury. It is important to allow the child to move freely during the seizure while ensuring their safety from nearby hazards.
Correct Answer is A
Explanation
Nephrotic syndrome is a renal condition characterized by increased permeability of the glomerular filtration barrier, leading to excessive protein loss in the urine. Cardinal features include : (proteinuria), hypoalbuminemia, edema, and hyperlipidemia.
B. Hypertension: While hypertension can occur in some cases of nephrotic syndrome, it is not a consistent finding.
C. Smokey brown urine: Smokey brown urine can be a sign of rhabdomyolysis or hemolysis, not nephrotic syndrome. In nephrotic syndrome, urine may appear foamy due to proteinuria
D. Polyuria: Polyuria is not a typical finding in nephrotic syndrome. Nephrotic syndrome is more commonly associated with oliguria (decreased urine output) due to decreased blood volume and activation of the renin-angiotensin-aldosterone system.
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