Nokea
Which statement by the mother of a child with rheumatic fever (RF) shows she has a good understanding of the care of her child?
- A. I will apply heat to his swollen joints to promote circulation.
- B. I will have him do gentle stretching exercises to prevent contractures.
- C. I will give him the aspirin that is ordered for pain and inflammation.
- D. I will apply cold packs to his swollen joints to reduce pain.
Correct Answer: C
Rationale: Aspirin is the drug of choice for treating RF due to its anti-inflammatory and analgesic properties.
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Prior to the patient being given medication, he becomes hypotensive, mottled, and cold. His heart rate is 240. The next therapeutic step should be
- A. digoxin
- B. synchronized DC cardioversion
- C. lidocaine
- D. defibrillation
Correct Answer: B
Rationale: Synchronized DC cardioversion is indicated for unstable tachycardia unresponsive to pharmacological agents.
A child with rheumatic fever is being admitted to the pediatric floor. On admission assessment, the nurse should ask the parents which question to elicit assessment information specific to the development of rheumatic fever?
- A. “Has your child complained of back pain?â€
- B. “Has your child complained of headaches?â€
- C. “Has your child had any nausea or vomiting?â€
- D. “Did your child have a sore throat or fever within the last 2 months?â€
Correct Answer: D
Rationale: A history of sore throat or fever within the last 2 months is significant as rheumatic fever often follows a streptococcal infection such as strep throat.
Common causes of recurrent abdominal pain include:
- A. Gilbert syndrome
- B. Chronic constipation
- C. Functional cause
- D. Gastric ulcer
Correct Answer: C
Rationale: Functional abdominal pain is a common cause of recurrent abdominal pain in children, often without an identifiable organic cause.
Growth hormone secretion is raised by:
- A. Sleep
- B. Stress
- C. IGF-1
- D. Somatostatin
Correct Answer: A
Rationale: Sleep
Cardiac catheterization therapeutic in
- A. Infundibular pulmonary stenosis
- B. Mitral regurgitation
- C. Aortic stenosis
- D. Transposition of great vessels
Correct Answer: A
Rationale: Infundibular pulmonary stenosis can be treated therapeutically with cardiac catheterization.