Nokea
If the parents report all the following history findings to the nurse, which one is most closely correlated with an increased risk of rheumatic fever?
- A. The child was exposed to measles within the past 4 weeks.
- B. The child had a severe sore throat within the past 2 weeks.
- C. The child is lethargic and no longer interested in schoolwork.
- D. The child received a bump on the head while playing.
Correct Answer: B
Rationale: Rheumatic fever is strongly associated with a recent streptococcal infection, such as a sore throat caused by group A Streptococcus. A severe sore throat within the past 2 weeks is a key risk factor, as it may indicate an untreated or inadequately treated streptococcal infection.
You may also like to solve these questions
Which information reported by the parents indicates a high risk for the presence of a brain tumor?
- A. The child vomits when first getting out of bed.
- B. The child frequently complains of nausea.
- C. The child forgets where homework is placed.
- D. The child's head tilts toward the side when sleeping.
Correct Answer: A
Rationale: Morning vomiting is a classic sign of increased intracranial pressure from a brain tumor, as pressure is highest after lying flat overnight, making it a high-risk indicator.
Which question is most important for the nurse to ask the adolescent girl in preparation for X-rays?
- A. Is there any possibility that you're pregnant?
- B. Have you eaten anything in the past 24 hours?
- C. Have you taken any medications in the past 24 hours?
- D. Are you allergic to iodine or shellfish?
Correct Answer: A
Rationale: Asking about pregnancy is critical before X-rays, as radiation can harm a fetus, making it the most important question to ensure safety.
A 25 years old P2 comes to emergency,after home delivery with heavy bleeding per vaginum. After evaluation and emergency resuscitation she is diagnosed as a case of uterine atony. What is the appropriate medicine in the management of this case:
- A. Oxytocin.
- B. Salbutamol.
- C. Beta blockers.
- D. Magnesium sulphate.
- E. Hydralazine.
Correct Answer: A
Rationale: Oxytocin is the first-line treatment for uterine atony as it stimulates uterine contractions to control postpartum hemorrhage. Other options are not indicated for this condition.
The primiparous client,who delivered a term newborn is a lesbian,achieved her pregnancy via artificial insemination and is in a monogamous relationship with a female partner. Which intervention should the nurse add to the newborn’s care plan?
- A. Avoid acknowledging the client’s lesbian relationship.
- B. Encourage the client’s partner to participate in newborn cares.
- C. Ask the partner to leave the room when the newborn is present.
- D. Avoid telling the newborn’s caregivers about the client’s situation.
Correct Answer: B
Rationale: Encouraging the partner to participate in newborn care shows respect and promotes bonding similar to heterosexual partners. Ignoring the relationship or excluding the partner is disrespectful.
While supervising the LPN,the RN determines that the LPN needs additional instruction in newborn care. Which action by the LPN prompted the nurse’s conclusion?
- A. Assessed the newborn’s heart rate apically
- B. Covered the newborn’s head with a stocking cap
- C. Checked the newborn’s temperature rectally
- D. Positioned the newborn supine while sleeping
Correct Answer: C
Rationale: Rectal temperature checks risk mucosal irritation or perforation. Apical HR assessment stocking caps and supine positioning (to reduce SIDS risk) are correct practices.