The nurse is assessing a child admitted with a diagnosis of rheumatic fever. Which significant question would the nurse ask the child's parent during the assessment?
"Has your child been exposed to anyone with chicken pox
"Has any family member had a sore throat within the past few weeks?"
"Has any family member had a gastrointestinal disorder in the past few weeks?
"Has your child had difficulty urinating?
The Correct Answer is B
A. "Has your child been exposed to anyone with chicken pox?"
While chickenpox is caused by a different virus (varicella-zoster virus) and is not directly linked to rheumatic fever, the nurse might inquire about exposure to contagious illnesses as a general part of the assessment.
B. "Has any family member had a sore throat within the past few weeks?"
This question is relevant because rheumatic fever often follows an untreated or inadequately treated group A streptococcal infection, such as strep throat. A sore throat in a family member could indicate the presence of streptococcal infection, which is a crucial factor in the development of rheumatic fever.
C. "Has any family member had a gastrointestinal disorder in the past few weeks?"
Gastrointestinal disorders are not directly associated with the development of rheumatic fever. However, a comprehensive medical history might include questions about recent illnesses to understand the overall health context.
D. "Has your child had difficulty urinating?"
Difficulty urinating is not a typical symptom or risk factor associated with rheumatic fever. This symptom would likely prompt investigation into other potential issues but is not specifically related to rheumatic fever.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Crayons and a coloring book:
Incorrect: Crayons and coloring books may not be appropriate for a 12-month-old, as they may pose a choking hazard. Additionally, they might require more direct contact, which may not be ideal under contact precautions.
B. Modeling clay:
Incorrect: Modeling clay may also pose a choking hazard for a toddler. Moreover, it can be messy and may not be suitable for use in a hospital room with contact precautions.
C. Hanging crib toys.
Correct Answer: Hanging crib toys can provide visual and tactile stimulation for the toddler without the need for direct contact. These toys can be attached to the crib, allowing the child to engage with them safely.
D. Large building blocks:
Incorrect: While large building blocks can be suitable for a toddler's developmental needs, they may not be the best option in a confined hospital room under contact precautions. The child's access to and handling of the blocks may be limited in this setting.
Correct Answer is A
Explanation
A. Possible sexual abuse.
Correct Answer: Chlamydial conjunctivitis in a child can raise concerns about possible sexual abuse. Chlamydia trachomatis, the bacterium responsible for chlamydial conjunctivitis, is commonly transmitted through contact with infected genital secretions. Therefore, the presence of chlamydial conjunctivitis in a child may warrant further investigation into the possibility of sexual abuse.
B. Possible trauma:
Incorrect: While trauma can cause eye-related symptoms, chlamydial conjunctivitis is specifically associated with an infection caused by Chlamydia trachomatis.
C. Presence of an allergy:
Incorrect: Allergic conjunctivitis may cause itchy, red, and swollen eyes, but chlamydial conjunctivitis is caused by a bacterial infection and is not related to allergies.
D. Presence of a respiratory infection:
Incorrect: Chlamydial conjunctivitis is not typically associated with respiratory infections. It is primarily caused by Chlamydia trachomatis and is more commonly linked to genital tract infections.
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