The nurse caring for a child diagnosed with acute rheumatic fever should assess the child for
a. Sore throat
b. Elevated blood pressure
c. Desquamation of the fingers and toes
d. Tender, warm, inflamed joints
D
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A The child may have had a sore throat previously associated with a group A
beta-hemolytic streptococcal infection a few weeks earlier. A sore throat is not a
manifestation of rheumatic fever.
B Hypertension is not associated with rheumatic fever.
C Desquamation of the fingers and toes is a manifestation of Kawasaki syndrome.
D Arthritis, characterized by tender, warm, erythematous joints, is one of the major
manifestations of acute rheumatic fever in the first 1 to 2 weeks of the illness.
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