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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Meningitis is an infection of the protective membranes covering the brain and spinal cord and is not typically listed as a risk factor for ADD/ADHD.
Choice B reason: A family history of ADD/ADHD is a known risk factor, as the disorder can have a genetic component.
Choice C reason: Exposure to environmental toxins, such as lead, is associated with an increased risk of developing ADD/ADHD.
Choice D reason: While maternal health issues like gestational diabetes can impact a child's development, they are not directly linked to ADD/ADHD as a risk factor in the same way as genetic or environmental factors. However, this choice is less incorrect than Choice A, as there is some evidence suggesting a potential association between gestational diabetes and developmental disorders.
Correct Answer is D
Explanation
Choice A reason: This choice is incorrect. There is no need for the mother to leave the room unless the child requests privacy.
Choice B reason: This choice is incorrect. While reviewing health promotion is important, it should not be the focus during a sick visit.
Choice C reason: This choice is incorrect. A comprehensive history is not necessary if the child is regularly seen and was recently assessed.
Choice D reason: This is the correct choice. The nurse should focus on the current illness reported by the mother, as the child has been regularly seen and assessed.
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