Which of the following actions by the school nurse is important in the prevention of rheumatic fever (RF)?
Refer children with sore throats for throat cultures
Conduct routine blood pressure screenings
Recommend salicylates instead of ibuprofen for minor discomforts
Encourage routine cholesterol screenings
The Correct Answer is A
a) Refer children with sore throats for throat cultures: Early detection and treatment of Group A streptococcal infections are crucial in preventing rheumatic fever. Throat cultures help identify the presence of streptococcal bacteria.
b) Conduct routine blood pressure screenings: While important for other health concerns, blood pressure screenings are not directly related to preventing rheumatic fever.
c) Recommend salicylates instead of ibuprofen for minor discomforts: Salicylates are not the primary intervention for preventing rheumatic fever; prompt antibiotic treatment for streptococcal infections is key.
d) Encourage routine cholesterol screenings: Cholesterol screenings are unrelated to the prevention of rheumatic fever.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a) A high hemoglobin: Tricuspid atresia typically leads to decreased pulmonary blood flow, causing cyanosis and chronic hypoxemia, which can result in increased hemoglobin levels as the body compensates for low oxygen.
b) A prolonged PTT: While not typically associated with tricuspid atresia specifically.
c) A low hematocrit: Hematocrit levels might be normal or elevated due to chronic hypoxemia.
d) A low platelet count: Platelet count might not be directly affected by tricuspid atresia.
Correct Answer is D
Explanation
a) Hyperthermia: Hyponatremia can disrupt temperature regulation, but it doesn't typically cause hyperthermia directly.
b) Respiratory distress: While severe cases might cause neurological issues affecting breathing, it's not the primary concern in hyponatremia.
c) Bradycardia: Though possible due to neurological complications, it's not the primary issue to anticipate in hyponatremia.
d) Seizure: Hyponatremia significantly affects brain function due to electrolyte imbalance, predisposing the child to seizures.
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