When completing the health history of a patient with a suspected cardiac disorder, about which childhood illnesses should the nurse ask?
1. rheumatic fever and strep throat infections
2. rubella and chickenpox
3. asthma and bronchitis
4. otitis media and respiratory syncytial virus (RSV)
Correct Answer: 1
Rheumatic fever and streptococcal throat infections are caused by beta-hemolytic streptococci, which have a propensity to form growths and calcium deposits on the leaflets of heart valves. This sets the individual up for valvular stenosis. Rubella, chickenpox, asthma, bronchitis, otitis media, and respiratory syncytial virus are not directly related to cardiac disorders.
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A client diagnosed with early-stage breast cancer is to undergo radiation therapy along with a lumpectomy rather than mastectomy. In helping the client make her decision, the nurse would explain to the client that
a. distant recurrence is seen more often with lumpectomy. b. effects are comparable between the two remedies. c. radiation therapy is not needed with mastectomy. d. radiation may cause a significant incidence of secondary malignancies.
The patient is ordered to be on bed rest for two months. The nurse realizes that the patient's bones will
1. not be affected by the bed rest. 2. undergo increased osteoclast activity and bone resorption. 3. increase their osteoblastic activity to promote ossification. 4. be affected positively by the rest and be stronger as a result.
On admission, a patient weighs 250 pounds. The weight is recorded as 256 pounds on the second inpatient day. Which condition will the nurse assess for in this patient?
a. Anorexia b. Weight loss c. Fluid retention d. Increased nutritional intake
A client's temperature is 102°F. Which of the following would the nurse also expect to find?
A) Weak, thready pulse B) Tachycardia greater than 100 bpm C) Respiratory rate between 12 and 20 breaths/minute D) Blood pressure 10 mm Hg greater than normal