Question 1 See full question
A school-age child has a fever, joint inflammation, and a nonpruritic rash. Knowing that these are signs of rheumatic fever, the nurse should ask the parents:
You Selected:
• "Has your c
...
Question 1 See full question
A school-age child has a fever, joint inflammation, and a nonpruritic rash. Knowing that these are signs of rheumatic fever, the nurse should ask the parents:
You Selected:
• "Has your child had strep throat recently?"
Correct response:
• "Has your child had strep throat recently?"
Explanation:
Asking if the child had strep throat recently is appropriate because group A streptococcal infection typically precedes rheumatic fever — an inflammatory disease that affects the heart, joints, and central nervous system. Rheumatic fever isn't infectious and can't be transmitted from one person to another. Congenital heart defects don't play a role in the development of rheumatic fever. H. influenzae vaccine doesn't prevent streptococcal infection or rheumatic fever.
Question 2 See full question
A 7-year-old boy is hospitalized with cystic fibrosis. To help him manage secretions and avoid respiratory distress, the nurse should:
You Selected:
• perform chest physiotherapy every 4 hours.
Correct response:
• perform chest physiotherapy every 4 hours.
Explanation:
The nurse should perform chest physiotherapy because it aids in loosening secretions in the entire respiratory tract. Pancreatic enzymes aid in the absorption of necessary nutrients — not in managing secretions. Oxygen therapy doesn't aid in loosening secretions and can cause carbon dioxide retention and respiratory distress in children with cystic fibrosis. A high-calorie diet is appropriate but doesn't facilitate respiratory effort.
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