A young mother brings her 4-year-old in to the pediatric clinic with a mild fever and a red, spotty rash that is beginning to fade. The child's heart rate is rapid, and the rhythm is abnormal
The mother states the child has been healthy until about 3 weeks ago when the child had a sore throat. You suspect rheumatic carditis. What organism causes rheumatic carditis? A) Group A beta-hemolytic strep
B) Staphylococcus aureus
C) Streptococcus viridians
D) Epstein-Barr virus
A
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The inflammatory symptoms of rheumatic carditis are believed to be induced by antibodies originally formed to destroy the group A beta-hemolytic streptococcal microorganisms. Staphylococcus aureus and Streptococcus viridians are associated with infectious endocarditis. The Epstein-Barr virus is associated with myocarditis.
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A pregnant woman wants to breastfeed her infant; however, her husband is not convinced that there are any scientific reasons to do so. The nurse can give the couple printed information comparing breastfeeding and bottle-feeding
Which statement is true? Bottle-feeding using commercially prepared infant formulas: a. Increases the risk that the infant will develop allergies. b. Helps the infant sleep through the night. c. Ensures that the infant is getting iron in a form that is easily absorbed. d. Requires that multivitamin supplements be given to the infant.
The client has been found to have a genetic mutation that increases the risk for colon cancer. The client does not want any family to know about this result. What is the nurse's best response?
a. "It is required by law that you inform your siblings and your children about this result so that they also can be tested and moni-tored for colon cancer." b. "It is not necessary to tell your siblings because they are adults, but you should tell your children so that they can be tested before they decide to have children of their own." c. "It is not required that you tell anyone about this result. However, because your siblings and children may also be at risk for colon cancer, you should think about how this information might help them." d. "It is your decision to determine with whom, if anyone, you discuss this test re-sult. However, if you do not tell any of your family members and they get colon cancer, you could be held liable."
The client has been prescribed zolpidem (Ambien) for the short-term management of insomnia. What information should the nurse include when teaching the client about this medication?
1. For best results, take the medication just prior to bedtime. 2. Take the medication at dinnertime to avoid gastric upset. 3. Do not take the medication with any liquid that contains calcium. 4. Drink an entire glass of water with the dose to avoid kidney stones.
A mother called the maternity ward four days after the birth of her baby girl. She tells the nurse that she has noticed her infant's skin tone is yellow and asks if she should bring the infant to the hospital
What is the most likely cause of the infant's skin tone? 1. Pathologic jaundice 2. Acute bilirubin encephalopathy 3. Physiologic jaundice 4. Hemolytic disease of the newborn