When obtaining a history from the father of a 9-year-old boy with rheumatic fever, the nurse recognizes that the most significant information related to the diagnosis is:

Had an upper respiratory infection with a sore throat about 3 weeks ago.

Suffered chest trauma with a fractured rib after a bicycle accident 2 weeks ago.

The child was born with a heart defect that was repaired at 6 months of age.

Has had a decreasing appetite over the course of several months.

Answer and Explanation

The Correct Answer is A

Choice A reason: This is the correct choice. Rheumatic fever is often preceded by an upper respiratory infection caused by group A Streptococcus, which can lead to a sore throat.
Choice B reason: Chest trauma and a fractured rib are not related to the development of rheumatic fever.
Choice C reason: Although a pre-existing heart defect can increase the risk of complications, it is not the cause of rheumatic fever.
Choice D reason: A decreasing appetite over several months is not specifically indicative of rheumatic fever.

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Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A reason: This is the correct choice. An 8-year-old is typically capable of understanding and using PCA effectively, especially after a major surgery like spinal fusion.
Choice B reason: A 6-year-old may not fully understand how to use PCA and could be at risk for under or overdosing.
Choice C reason: While a 10-year-old could use PCA, the presence of a concussion may impair their ability to use it properly.
Choice D reason: A 16-year-old with Down Syndrome may have cognitive impairments that could hinder the safe use of PCA.

A. Symptoms of infection B. Anaphylaxis C. Pain at the injection site D. Myalgia E. Hyperthermia

Correct Answer is B

Explanation

Choice A reason: While symptoms of infection are important to assess, they are not the immediate priority following vaccine administration.

Choice B reason: Anaphylaxis is a rapid, potentially life-threatening allergic reaction that can occur after vaccination, making it the priority assessment.

Choice C reason: Pain at the injection site is common and expected, but it is not as critical as assessing for anaphylaxis.

Choice D reason: Myalgia, or muscle pain, may occur after vaccination but is not the immediate priority for assessment.

Choice E reason: Hyperthermia, or elevated body temperature, could indicate an adverse reaction; however, anaphylaxis is the most urgent concern to address post-vaccination.

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When obtaining a history from the father of a 9-year-old boy with rheumatic fever, the nurse recognizes that the most significant information related to the diagnosis is:

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Naxlex Comprehensive Predictor Exams

In a pediatric surgical unit, when discussing patient-controlled analgesia (PCA) in a preoperative parental meeting, which client would be the most appropriate candidate for PCA?

Correct Answer is A

Explanation

What is the priority nursing assessment for the nurse to perform after administering vaccines?

Correct Answer is B

Explanation

The nurse prepares a teaching plan for an adult patient with metabolic syndrome. Which findings should the nurse address to help the patient reduce the risk for diabetes mellitus and vascular disease? (Select all that apply.)

When obtaining a history from the father of a 9-year-old boy with rheumatic fever, the nurse recognizes that the most significant information related to the diagnosis is:

What is the most likely cause of a 12-month-old's persistent diaper rash, characterized by perianal inflammation with bright red scaly plaques, small papules, and satellite lesions?

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The nurse is performing the initial assessment of a child newly diagnosed with Kawasaki disease. Which symptoms would the nurse expect to assess with this child?