The nurse is collecting data on a child with a diagnosis of rheumatic fever (RF). Which of the following questions would the nurse initially ask the mother of the child?
1. "Has the child been vomiting?"
2. "Has the child had any diarrhea?"
3. "Does the child complain of chest pain?"
4. "Has the child complained of a sore throat within the past few months?"
4
Rationale: RF characteristically presents 2 to 6 weeks following an untreated or partially treated group A beta-hemolytic streptococcal infection of the upper respiratory tract. Initially, the nurse determines whether any family members have had a sore throat or unexplained fever within the past 2 months. "Has the child been vomiting?" "Has the child had any diarrhea?" and "Does the child complain of chest pain?" are unrelated to RF.
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