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

Answer and Explanation

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.

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Correct Answer is A

Explanation

a) A 3-week-old infant born at 35 weeks’ gestation with gastroenteritis: Premature infants are more vulnerable to complications, and gastroenteritis can lead to dehydration, which can be critical for a newborn.

b) A term 2-week-old infant of American Indian descent with an upper respiratory infection: While concerning, it might not pose an immediate threat of mortality compared to conditions affecting premature infants.

c) A post-term 4-week-old infant, Black descent, with moderate emesis after feeding: Vomiting after feeding might indicate various issues but might not immediately suggest a high risk of mortality.

d) A 1-week:old infant born at 40 weeks’ gestation with symptoms of cough: Cough alone might not indicate severe conditions in a newborn.

A. The infant having a higher basal metabolic rate B. The infant’s kidneys being less able to concentrate urine C. The infant having a greater percentage of body weight in water D. The infant having a greater body surface area

Correct Answer is C

Explanation

a) The infant having a higher basal metabolic rate: Basal metabolic rate doesn't directly impact urine specific gravity.

b) The infant’s kidneys being less able to concentrate urine: In fact, infants have immature kidneys that are less efficient at concentrating urine, but this is not the primary reason for lower specific gravity.

c) The infant having a greater percentage of body weight in water: Infants have a higher percentage of body weight in water, leading to more dilute urine.

d) The infant having a greater body surface area: While body surface area influences some aspects of renal function, it's not the main factor affecting urine specific gravity in infants.

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Which of the following actions by the school nurse is important in the prevention of rheumatic fever (RF)?

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