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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:By around 12 months, infants typically triple their birth weight, but that milestone isn't expected at 6 months. Therefore, telling the mother three times birth weight at this age would be inaccurate and misleading.
Choice B reason: While it's true that each child grows at their own pace, there are general milestones for weight gain that can guide expectations.
Choice C reason: This choice is incorrect. A 10 lb increase is not a standard milestone for weight gain at 6 months.
Choice D reason: Evidence-based pediatric growth milestones state that by 6 months, an infant’s weight typically doubles from birth weight. This aligns with widely accepted developmental guidelines and is the most accurate and reassuring response to the mother’s question.
Correct Answer is ["A","C"]
Explanation
Choice A reason: Allowing parents to hold, touch, and rock their deceased infant can be a crucial part of the grieving process, offering a personal and intimate way to say goodbye.
Choice B reason: While understanding the cause of the incident is important, it is not considered supportive care; it is more investigative and might not provide immediate comfort to the grieving family.
Choice C reason: Providing mementos like footprints and blankets can serve as tangible memories of the infant, helping parents in their grieving and healing process.
Choice D reason: Advising parents about autopsy decisions is sensitive and should be handled with care; it is not inherently supportive as it may not align with the family's wishes or needs during their time of grief.
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