The nurse is providing teaching to parents of a child diagnosed with rheumatic fever (RF). Which would be included within the teaching plan?

there should be a management regimen for electrolyte imbalance

The child will recover fully requiring no further treatment in the future

the child will need prophylactic antibiotics for invasive procedures

a diagnosis of RF may have genetic implications for future offspring

Answer and Explanation

The Correct Answer is C

Rheumatic fever (RF) is a complication that can occur after an untreated or inadequately treated streptococcal throat infection (strep throat). It can affect the heart, joints, skin, and brain. One important aspect of managing RF is to prevent further episodes of strep throat, as it can trigger recurrent RF. Therefore, the child with a history of RF will require prophylactic antibiotics (usually penicillin or a related antibiotic) before certain invasive procedures, dental work, or surgeries to prevent strep throat and subsequent recurrence of RF.

Option A is not specific to rheumatic fever, and while electrolyte imbalances may be monitored and managed in certain cases of severe illness, it is not a core aspect of managing RF.
Option B is not accurate. While many children with RF do recover fully with appropriate treatment, they may be at risk of developing rheumatic heart disease, which can lead to long-term complications if not managed properly.
Option D is not a direct implication of RF. Rheumatic fever is not a genetically inherited condition, but a complication of strep throat caused by a bacterial infection. There is no evidence to suggest that having RF would directly affect the genetic implications for future offspring.

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Correct Answer is B

Explanation

During a sickle cell crisis, the child experiences severe pain due to the sickled red blood cells blocking blood flow in the vessels, leading to tissue ischemia and infarction. Pain is the hallmark symptom of sickle cell crisis and can occur in various parts of the body, such as the abdomen, chest, back, joints, and extremities.

A. Constipation is not a common symptom of sickle cell crisis. It may be associated with other conditions but is not directly related to sickle cell crisis.
C. High fever is not a typical finding in sickle cell crisis. Fever may occur due to infections, which individuals with sickle cell disease are at increased risk of developing, but it is not a direct symptom of the crisis itself.
D. Bradycardia (slow heart rate) is not commonly associated with sickle cell crisis. Tachycardia (rapid heart rate) may occur in response to pain, but bradycardia is not a typical finding.

A. "We will restrict the amount of salt in our child's food." B. I will limit my child's fluid intake." C. "I will prepare low-fat meals with limited protein for my child." D. "We will give our child pancreatic enzymes with snacks and meals."

Correct Answer is D

Explanation

Cystic fibrosis (CF) is a genetic disorder that affects the production and function of certain glands, particularly those that produce mucus and sweat. One of the key aspects of CF management is addressing the pancreatic insufficiency that occurs in many individuals with CF. Due to the impairment of the pancreas, children with CF may have difficulty digesting food properly, especially fats. This can lead to malabsorption of nutrients, poor weight gain, and other nutritional deficiencies.

Pancreatic enzyme replacement therapy is a crucial part of CF management. Pancreatic enzymes are prescribed to help the child digest and absorb essential nutrients, especially fats. The enzymes are typically given with each meal and snack to aid in the breakdown and absorption of nutrients.

The other options are not correct:

A. "We will restrict the amount of salt in our child's food."

Sodium restriction is generally not a focus in CF management unless there are specific indications for it. CF patients may have increased salt losses in sweat, but dietary sodium restriction is not a primary aspect of their care.

B. "I will limit my child's fluid intake."

Fluid intake is important for children with CF to maintain hydration and prevent dehydration. There is no specific need to limit fluid intake unless there are individualized medical reasons for doing so.

C. "I will prepare low-fat meals with limited protein for my child."

Children with CF often require a high-calorie, high-protein diet to maintain adequate nutrition and growth. Restricting fat and protein intake is not typically recommended, as these nutrients are essential for a child's development and well-being. Instead, pancreatic enzymes are used to aid in the digestion and absorption of fats and other nutrients.

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The nurse is providing teaching to parents of a child diagnosed with rheumatic fever (RF). Which would be included within the teaching plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a child who is in a sickle cell crisis. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

A nurse is providing discharge teaching about nutrition to the parents of a child who has cystic fibrosis (CF). Which of the following responses by the parents indicates an understanding of the teaching?

Correct Answer is D

Explanation

d

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