A diagnosis of rheumatic fever is being ruled out for a child. The nurse teaches the parents that the lab test to check for a recent streptococcal infection is:

1. Throat culture.
2. Antistreptolysin-O (ASLO) titer.
3. Erythrocyte sedimentation rate.
4. C-reactive protein.


2
Rationale:
1. A culture can indicate a current streptococcal infection.
2. The lab test for antistreptococcal antibodies is an antistreptolysin-O (ASLO) titer.
3. An erythrocyte sedimentation rate and a C-reactive protein can indicate inflammation.
4. An erythrocyte sedimentation rate and a C-reactive protein can indicate inflammation.

Assessment
Physiological Integrity
Analysis
Learning Outcome 26.6 Recognize the signs and symptoms of congestive heart failure in infants and children, and develop a nursing care plan.

Nursing

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The nurse is assigned to take care of a 56-year-old patient with COPD. The patient does not tolerate a supine position for sleeping. In what position should the nurse place the patient?

a. Lateral b. Prone c. Semi-Fowler's d. Sims'

Nursing

The patient who has been diagnosed as having a visual acuity of 20/40 asks the nurse what these numbers mean. A correct response by the nurse is:

A) "A person whose vision is 20/40 can see an object from 40 feet away that a person with 20/20 vision can see from 20 feet away." B) "A person whose vision is 20/40 can see an object from 20 feet away that a person with 20/20 vision can see from 40 feet away." C) "A person whose vision is 20/40 can see an object from 40 inches away that a person with 20/20 vision can see from 20 inches away." D) "A person whose vision is 20/40 can see an object from 20 inches away that a person with 20/20 vision can see from 40 inches away."

Nursing

The client has developed anosmia. The healthcare provider educates the client about the possible causes. The nurse recognizes that which of the following would be an unexpected explanation for this condition?

1. Commonly associated with gingivitis 2. Possibly linked to heredity 3. Related to a diet deficient in zinc 4. An indicator of a neurological problem

Nursing

When assessing a newborn immediately after birth, which concept should the nurse keep in mind?

A) Pulmonary pressures rise. B) Left atrial pressure rises. C) Right atrial pressure rises. D) Systemic vascular resistance falls.

Nursing