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A nurse is reviewing the laboratory results of a child who was recently admitted for suspected rheumatic fever.

The nurse should identify that which of the following laboratory tests can contribute to confirming this diagnosis? (Select all that apply.)

Blood urea nitrogen (BUN)

Erythrocyte sedimentation rate (ESR)

Antistreptolysin O (ASO) titer

Partial thromboplastin time (PTT)

C-reactive protein (CRP).

Answer and Explanation

Correct Answer : B,C,E

This laboratory test can contribute to confirming a diagnosis of rheumatic fever.

Choice A is wrong because Blood urea nitrogen (BUN) is not used to diagnose rheumatic fever.

Choice D is wrong because Partial thromboplastin time (PTT) is not used to diagnose rheumatic fever.

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Correct Answer is B

Explanation

The nurse should first implement droplet precautions for the child.

Bacterial meningitis can be spread through respiratory and throat secretions, so it is important to take precautions to prevent the spread of infection.

Choice A is wrong because while a lumbar puncture may be necessary for diagnosis, preventing the spread of infection is a higher priority.

Choice C is wrong because while dimming the lights may provide comfort, preventing the spread of infection is a higher priority.

Choice D is wrong because while administering an antipyretic may provide comfort, preventing the spread of infection is a higher priority.

A. Allergy to neomycin. B. Family history of seizures. C. Upper respiratory infection 2 days ago. D. Temperature of 37.2°C (99°F).

Correct Answer is A

Explanation

An allergy to neomycin is a contraindication for receiving the MMR vaccine.

Choice Bis wrong because a family history of seizures is not a contraindication for receiving the MMR vaccine.

Choice Cis wrong because an upper respiratory infection 2 days ago is not a contraindication for receiving the MMR vaccine.

Choice Dis wrong because a temperature of 37.2°C (99°F) is not a contraindication for receiving the MMR vaccine.

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A nurse is reviewing the laboratory results of a child who was recently admitted for suspected rheumatic fever. The nurse should identify that which of the following laboratory tests can contribute to confirming this diagnosis? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in the emergency department is caring for a child who has a temperature of 39.1° C (102.4° F) and a suspected diagnosis of bacterial meningitis. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

A nurse is reviewing the medical record of a 15-month-old child who is scheduled to receive the measles, mumps, and rubella (MMR) vaccine. Which of the following findings should the nurse identify as a contraindication for receiving this vaccine?

Correct Answer is A

Explanation

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A nurse is reviewing the laboratory results of a child who was recently admitted for suspected rheumatic fever.

The nurse should identify that which of the following laboratory tests can contribute to confirming this diagnosis? (Select all that apply.)