After teaching a group of students about acute rheumatic fever, the instructor determines that the teaching was successful when the students identify which of the following as an assessment finding?
A) Janeway lesions
B) Jerky movements of the face and upper extremities
C) Black lines
D) Osler nodes
B
Feedback:
Sydenham chorea is a movement disorder of the face and upper extremities associated with acute rheumatic fever. Janeway lesions, black lines, and Osler nodes are associated with infective endocarditis.
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As the LPN/LVN collects data about a client, she uses critical thinking skills to: Standard Text: Select all that apply
1. Organize data. 2. Use subjective data to develop nursing diagnoses. 3. Use objective data to develop nursing diagnoses. 4. Use irrelevant data to develop nursing diagnoses. 5. Report information.
A client tells the nurse about losing weight and regaining it multiple times. Besides eating and exercising habits, for what additional data should the nurse assess as the priority?
a. Economic ability to join a gym b. Food allergies and intolerances c. Psychosocial influences on weight d. Reasons for wanting to lose weight
A patient with chronic cardiac failure in the CCU is on an ACE inhibitor but still has significant pitting edema in his extremities. Which medication, in addition to the ACE inhibitor, is the physician likely to prescribe to this patient?
A) Digoxin B) A loop diuretic C) B-blocker D) Calcium channel blocker
The nurse auscultates the fetal heart rate (FHR) and determines a rate of 152 . Which nursing intervention is appropriate?
a. Inform the mother that the rate is normal. b. Reassess the FHR in 5 minutes because the rate is too high. c. Report the FHR to the physician or nurse-midwife immediately. d. Tell the mother that she is going to have a boy because the heart rate is fast.