Ms. Sharpe is a 22-year-old secretary. She presents with fatigue, malaise, and a rash. On auscultation of her heart, you note murmurs of mitral regurgitation and aortic stenosis. She re-ports a recent severe sore throat. You suspect:
a. angina.
b. acute rheumatic fever.
c. cardiac amyloidosis.
d. aortic sclerosis.
B
Acute rheumatic fever is a systemic connective tissue disease that occurs after a streptococcal pharyngitis or skin infection. It may result in serious cardiac valvular involvement of the mitral or aortic valve. Often, the valve becomes stenotic and regurgitant. Prevention is adequate treatment of the streptococcal pharyngitis or skin infection.
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The nursing instructor is discussing metabolic acidosis with her senior nursing students. What would she tell her students about the role of the kidneys in metabolic acidosis?
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Birth for the nulliparous woman with a fetus in a breech presentation is usually by
a. Cesarean delivery b. Vaginal delivery c. Forceps-assisted delivery d. Vacuum extraction
An adolescent client will receive Depo-Provera as a method of birth control. She asks the nurse how long the drug will be effective. What is the best response by the nurse?
1. Two months 2. Six months 3. One year 4. Three months