The nurse is admitting a child with rheumatic fever. Which therapeutic management should the nurse expect to implement?
a. Administering penicillin
b. Avoiding salicylates (aspirin)
c. Imposing strict bed rest for 4 to 6 weeks
d. Administering corticosteroids if chorea develops
ANS: A
The goal of medical management is the eradication of the hemolytic streptococci. Penicillin is the drug of choice. Salicylates can be used to control the inflammatory process, especially in the joints, and reduce the fever and discomfort. Bed rest is recommended for the acute febrile stage, but it does not need to be strict. The chorea is transient and will resolve without treatment.
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A patient is undergoing testing for suspected adrenocortical insufficiency. The care team should ensure that the patient has been assessed for the most common cause of adrenocortical insufficiency. What is the most common cause of this health problem?
A) Therapeutic use of corticosteroids B) Pheochromocytoma C) Inadequate secretion of ACTH D) Adrenal tumor
The nurse is caring for a 3-year-old with short bowel syndrome as a result of trauma to the small intestine. The girl's mother is extremely anxious and tells the nurse she is afraid she will never learn how to care for her daughter at home
How should the nurse respond? A) "I will help you become an expert on your daughter's care." B) "You must learn how to care for your daughter at home." C) "You really need the support of your husband." D) "There is a lot to learn, and you need a positive attitude."
According to Orem's self-care deficit theory, people are assisted through which of the following methods of helping? (Select all that apply.)
1. Balancing rest 2. Teaching 3. Supporting 4. Guiding 5. Preventing hazards to life
The nurse is caring for a frustrated patient reports that she still involuntarily voids despite two surgeries to correct incontinence
Which statement indicates that the patient accurately under-stands the nurse's teaching about incontinence management after surgery? a. "I will avoid wearing pads that can cause skin breakdown." b. "I will talk to my health care provider about a pessary." c. "I will have to have an indwelling cathe-ter." d. "I will have to have another surgery."