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 D
Explanation
A. Valley fever
Explanation: Valley fever is a respiratory infection caused by inhaling spores of the Coccidioides fungus. It is not related to tinea pedis.
B. Shingles
Explanation: Shingles is a painful rash caused by the varicella-zoster virus. It is not related to tinea pedis.
C. Fever blister
Explanation: A fever blister is another term for a cold sore, typically caused by the herpes simplex virus. It is not related to tinea pedis, which is a fungal infection of the feet.
D. "Athlete's foot"
Explanation:
Tinea pedis is commonly known as athlete's foot. It is a fungal infection that affects the skin of the feet, particularly the spaces between the toes. The condition is often associated with warm and moist environments, such as those found in athletic shoes, hence the term "athlete's foot."
Correct Answer is C
Explanation
A. A period of play in the playroom:
Incorrect: While play is generally therapeutic, simply engaging in general play may not directly address the child's distress related to the insulin injection.
B. A video game:
Incorrect: Playing a video game might serve as a distraction, but it may not specifically help the child cope with the distress of the injection in the way that hands-on play with a needleless syringe and a doll can.
C. A needleless syringe and a doll:
Correct Answer: Correct.
Explanation: Allowing the child to play with a needleless syringe and a doll provides a hands-on, interactive experience that can help the child become more familiar and comfortable with the idea of injections. This play activity allows the child to express and understand their feelings in a safe and controlled environment.
D. A story book about a child who has diabetes:
Incorrect: While a storybook can be educational and provide information, it may not directly address the child's immediate distress after an insulin injection. The hands-on play with a needleless syringe and a doll is more focused on the specific experience of receiving injections
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