Molly, with suspected rheumatic fever, is admitted to the pediatric unit. When obtaining the child's history, the nurse considers which information to be most

Vomiting for 2 days

A recent episode of pharyngitis

Lack of interest in food

A fever that started 3 days ago

Answer and Explanation

The Correct Answer is B

When obtaining the history of a child with suspected rheumatic fever, the nurse should consider the following information to be most significant:

B. A recent episode of pharyngitis.

Explanation:

Rheumatic fever often follows an untreated or inadequately treated streptococcal pharyngitis (strep throat) infection caused by Group A Streptococcus bacteria. Therefore, a recent episode of pharyngitis is a key piece of information in the context of rheumatic fever. It is important to assess whether the child had a sore throat, fever, and other symptoms of streptococcal infection that may have triggered the development of rheumatic fever.

While the other symptoms (vomiting, lack of interest in food, fever) may be important for the overall assessment and management of the child, they are not as directly associated with the development of rheumatic fever as a recent episode of pharyngitis caused by Group A Streptococcus. Rheumatic fever is an autoimmune response to untreated streptococcal infection, and its diagnosis is often linked to the presence of preceding streptococcal pharyngitis.

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Correct Answer is A

Explanation

To calculate the safest dose of amoxicillin for Archie based on his weight of 44 pounds (lbs) and the recommended dose of 50 mg/kg/day in two divided doses, you should follow these steps:

Step 1: Convert Archie's weight from pounds (lbs) to kilograms (kg).

1 pound = 0.453592 kilograms

44 lbs * 0.453592 kg/lb = 19.504 kg (rounded to the nearest tenth)

Step 2: Calculate the total daily dose based on his weight.

Total daily dose = Weight (kg) * Dose (mg/kg/day)

Total daily dose = 19.504 kg * 50 mg/kg/day = 975.2 mg/day

Step 3: Divide the total daily dose into two equal doses since it's to be administered in two divided doses.

Each dose = Total daily dose / 2

Each dose = 975.2 mg/day / 2 = 487.6 mg/dose

Since it's not possible to administer a fraction of a milligram accurately, you would round the dose to the nearest available dosage strength.

Therefore, the safest dose for Archie would be:

500 mg

So, Archie should take 500 mg of amoxicillin before his dentist appointment.

A. Tetralogy of Fallot B. Hypoplastic Left Heart Syndrome C. Atrial Septal Defect (ASD) D. Ventricular Septal Defect E. Coarctation of the Aorta

Correct Answer is ["A","B","C","E"]

Explanation

The congenital heart diseases that often require multiple surgeries to correct are:

A. Tetralogy of Fallot: Tetralogy of Fallot usually requires staged surgical repairs, with multiple surgeries performed over time to address the various components of the defect.

B. Hypoplastic Left Heart Syndrome: Hypoplastic Left Heart Syndrome typically requires a series of staged surgeries, including the Norwood procedure, Glenn procedure, and Fontan procedure, to manage the condition.

E. Coarctation of the Aorta: Coarctation of the aorta may require multiple surgeries or interventions, depending on the severity of the coarctation and the associated cardiovascular abnormalities.

C. Atrial Septal Defect (ASD) and D. Ventricular Septal Defect (VSD) usually do not require multiple surgeries for correction. These defects can often be repaired with a single surgical intervention or may close spontaneously without surgery in some cases.

It's important to note that the necessity for multiple surgeries can vary based on the individual patient's condition and the specific anatomical details of the heart defect. Treatment plans are typically tailored to each patient's needs and can include a combination of surgical and medical interventions.

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Molly, with suspected rheumatic fever, is admitted to the pediatric unit. When obtaining the child's history, the nurse considers which information to be most

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Naxlex Comprehensive Predictor Exams

Archie who weighs 44 tb has been given an order for amoxilin 500 mg bid to take before a dentist appointment based on his history of infective endocans. The drug test shows that the daily dose of amoecitin is 50 mg/kg/day in two divided doses. What dose in milligrams is safest for this child?

Correct Answer is A

Explanation

Which of the following congenital heart diseases require multiple surgeries to correct? (Select All that Apply)

Correct Answer is ["A","B","C","E"]

Explanation

What is the advantage of teaching to the family about continuous cycling peritoneal dialysis (CCPD) or continuous ambulatory peritoneal (CAPD) for adolescents who require dialysis?

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