Which action by the school nurse is important in the prevention of rheumatic fever?
Recommend salicylates instead of acetaminophen for minor discomforts.
Encourage routine cholesterol screenings.
Conduct routine blood pressure screenings.
Refer children with sore throats for throat cultures.
The Correct Answer is D
The correct answer is Choice D: Refer children with sore throats for throat cultures.
Choice A rationale:
Recommending salicylates instead of acetaminophen for minor discomforts is not relevant to the prevention of rheumatic fever. Rheumatic fever is primarily associated with untreated streptococcal infections, particularly streptococcal pharyngitis (strep throat), which can lead to complications such as rheumatic fever if left untreated. The choice of pain relievers like salicylates or acetaminophen doesn't play a significant role in preventing rheumatic fever.
Choice B rationale:
Encouraging routine cholesterol screenings is not relevant to the prevention of rheumatic fever. Rheumatic fever is an immune-mediated inflammatory response to certain strains of Streptococcus bacteria, particularly Streptococcus pyogenes. Cholesterol screenings are more related to assessing cardiovascular risk and are not directly linked to preventing rheumatic fever.
Choice C rationale:
Conducting routine blood pressure screenings is not directly related to the prevention of rheumatic fever. Blood pressure screenings are important for identifying hypertension and other cardiovascular risk factors, but they do not have a direct impact on preventing rheumatic fever, which is primarily a complication of untreated streptococcal infections.
Choice D rationale:
Refer children with sore throats for throat cultures. This is the correct choice. Rheumatic fever often develops as a result of untreated streptococcal pharyngitis (strep throat). Throat cultures are crucial for diagnosing streptococcal infections and determining the appropriate course of treatment with antibiotics. By identifying and treating streptococcal infections promptly, the risk of developing rheumatic fever can be significantly reduced.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is choice B: "I have to stay on strict bed rest for 3 days."
Choice A rationale:
The statement "I should avoid tub baths but may shower" is correct. After a cardiac catheterization, the patient needs to keep the insertion site clean and dry to prevent infection. Showering is allowed, but tub baths should be avoided to minimize the risk of introducing water into the insertion site.
Choice B rationale:
The statement "I have to stay on strict bed rest for 3 days" is incorrect. Bed rest is not typically required after a cardiac catheterization. While the patient might need to lie flat for a few hours after the procedure to prevent bleeding and ensure hemostasis, strict bed rest for three days is unnecessary and could lead to complications like deep vein thrombosis (DVT) or deconditioning.
Choice C rationale:
The statement "I may attend school but should avoid exercise for several days" is correct. Attending school is generally acceptable after a cardiac catheterization, but exercise should be limited for several days to allow the insertion site to heal and to prevent complications like bleeding or hematoma formation.
Choice D rationale:
The statement "I should remove the pressure dressing the day after the procedure" is correct. Pressure dressings are typically removed by healthcare professionals after a specified period, which is usually around 24 hours after the procedure. Removing the dressing on their own the day after the procedure could lead to disruption of the wound and increase the risk of infection.
Correct Answer is A
Explanation
The correct answer is choice A.
Choice A rationale:
Drawing is the most appropriate activity for developing fine motor skills in school-age children. Drawing involves precise hand movements, control of a writing instrument, and attention to detail. These skills contribute to fine motor skill development and hand-eye coordination.
Choice B rationale:
Singing is not directly related to fine motor skill development. While it can promote cognitive and social development, it does not require the same level of fine motor control as activities like drawing or writing.
Choice C rationale:
Swimming is a gross motor activity that focuses more on large muscle groups and overall coordination. It does not specifically target the refinement of fine motor skills.
Choice D rationale:
Soccer is also a gross motor activity that involves running, kicking, and coordination with teammates. While it promotes physical fitness and coordination, it does not emphasize the fine motor control required for activities like drawing.
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