A nurse is caring for a client admitted with tachycardia, a pericardial friction rub, and the development of a new murmur. Which element of the client's history would lead the nurse to suspect this client has rheumatic carditis?
A. The client was vacationing in the tropics 2 weeks ago.
B. The client has had a sore throat for 1 week.
C. The client is currently taking antibiotics.
D. The client has a history of alcoholism.
B
Rheumatic carditis is a sensitivity response occurring after infection with group A beta-hemolytic streptococci. The client's history of a sore throat is suspicious for rheumatic carditis in light of the clinical manifestations at admission.
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