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
A. Sealing non-washable items in airtight plastic bags is a recommended practice for items that cannot be washed. Sealing items such as stuffed animals, pillows, and other non-washable items in airtight bags for two weeks can help ensure that any lice or nits present are killed.
B. Spraying countertops and sinks with insecticide is not a recommended practice. Insecticides are not effective against head lice on surfaces and can be harmful if used improperly. It's important to focus on treating the infested individual and any items in direct contact with their head.
C. Pets do not need to be treated for head lice. Human head lice cannot live on pets and are not transmitted to or from animals.
D. Soaking all combs and hairbrushes in alcohol is not effective against lice and nits.
Correct Answer is A
Explanation
A. A needleless syringe and a doll allow the child to role-play the experience of receiving an injection, which can help in understanding and coping with the procedure. It's a form of play therapy that can be particularly beneficial for children with medical conditions, as it helps them to process their experiences in a safe and controlled environment.
B. Reading a story about another child with diabetes can provide comfort and a sense of relatability. It can also serve as an educational tool, helping the child to understand their condition and the importance of treatments like insulin injections.
C. While not directly related to diabetes or injections, playing a video game can be a good distraction technique. It can help the child to relax and take their mind off the distress associated with injections. However, it may not have the same therapeutic benefits in terms of processing the experience as the other options listed.
D. Free play in a playroom offers a variety of benefits, including the opportunity for the child to express themselves creatively, engage with others, and momentarily escape from the stress of medical treatments. It's a form of expressive therapy that can improve mood and reduce anxiety.
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