Nokea
Which combination of symptoms, in conjunction with this finding, would confirm a diagnosis of rheumatic fever?
- A. Subcutaneous nodules and fever
- B. Painful, tender joints, and carditis
- C. Erythema marginatum and arthralgia
- D. Chorea and elevated sedimentation rate
Correct Answer: B
Rationale: Painful, tender joints and carditis, along with an elevated ASO titer, meet the major Jones criteria for diagnosing rheumatic fever.
You may also like to solve these questions
What does the nurse recognize that this indicates?
- A. Seizure activity
- B. Hypoxia
- C. Sydenham's chorea
- D. Decreasing level of consciousness
Correct Answer: C
Rationale: Sydenham's chorea, characterized by involuntary limb movements, is a neurological manifestation of rheumatic fever.
Which statement by the father leads the nurse to determine he understood the instructions?
- A. If the baby turns blue, I will hold him against my shoulder with his knees bent up toward his chest.'
- B. If the baby turns blue, I will lay him down on a firm surface with his head lower than the rest of his body.'
- C. If the baby turns blue, I will immediately put the baby upright in an infant seat.'
- D. If the baby turns blue, I will put the baby in supine position with his head elevated.'
Correct Answer: A
Rationale: The knee-chest position during a hypercyanotic spell in tetralogy of Fallot increases venous return and reduces cyanosis.
What are the four structural heart anomalies that make up the tetralogy of Fallot?
- A. Hypertrophied right ventricle
- B. Patent ductus arteriosus
- C. Ventral septal defect
- D. Narrowing of pulmonary artery
- E. Dextroposition of aorta
Correct Answer: A,B,D,E
Rationale: Tetralogy of Fallot includes a hypertrophied right ventricle, patent ductus arteriosus, pulmonary artery stenosis, and dextroposition of the aorta. Note: The document incorrectly lists 'ventral septal defect' instead of 'ventricular septal defect,' but the correct term is assumed.
Which congenital cardiac defect(s) cause(s) increased pulmonary blood flow?
- A. Atrial septal defects (ASDs)
- B. Tetralogy of Fallot
- C. Dextroposition of aorta
- D. Patent ductus arteriosus
- E. Ventricular septal defects (VSDs)
Correct Answer: A,D,E
Rationale: ASDs, patent ductus arteriosus, and VSDs cause increased pulmonary blood flow due to left-to-right shunting.
What does the nurse understand regarding why dyspnea occurs?
- A. Blood is circulated through the lungs again, causing pulmonary circulatory congestion.
- B. Blood is shunted past the pulmonary circulation, causing pulmonary hypoxia.
- C. Blood is shunted past cardiac arteries, causing myocardial hypoxia.
- D. Blood is circulated through the ductus from the pulmonary artery to the aorta, bypassing the left side of the heart.
Correct Answer: A
Rationale: In patent ductus arteriosus, oxygenated blood recycles through the lungs, causing pulmonary congestion and dyspnea.