The nurse reviews the physician's prescriptions for a child with a streptococcal infection. The physician prescribes an antistreptolysin O titer. Based on this prescription, which of the following would the nurse suspect in the child?

1. Rheumatic fever (RF)
2. Aortic valve disease (AVD)
3. Pulmonic valve disease (PVD)
4. Congestive heart failure (CHF)


1

Rationale: A diagnosis of RF is confirmed by the presence of two major manifestations or one major and two minor manifestations from the Jones criteria. Additionally, evidence of a recent streptococcal infection is confirmed by positive antistreptolysin O titer, Streptozyme slide tests, or anti-DNase B assays. An antistreptolysin O titer is not a specific laboratory test for the condi-tions identified in "aortic valve disease (AVD)," "pulmonic valve disease (PVD)," and "conges-tive heart failure (CHF)."

Nursing

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During an assessment of a 68-year-old man with a recent onset of right-sided weakness, the nurse hears a blowing, swishing sound with the bell of the stethoscope over the left carotid artery. This finding would indicate:

a. Valvular disorder. b. Blood flow turbulence. c. Fluid volume overload. d. Ventricular hypertrophy.

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The hospital staff educator is presenting education on transcultural nursing to a group of new graduate nurses. What would the staff educator best explain as the underlying focus of transcultural nursing?

A) The underlying focus of transcultural nursing is to promote the well-being of institutions. B) The underlying focus of transcultural nursing is to promote the health of communities. C) The underlying focus of transcultural nursing is to provide culture-specific and culture-universal care. D) The underlying focus of transcultural nursing is to promote the well-being of groups.

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Which of the following groups are at greatest risk of depression?

a. elderly women and minorities b. young men and Caucasians c. middle-aged men and Asians d. children and adolescents

Nursing

The nurse who is very upset about a patient's death is told by the supervisor to get over it and work as expected. What might the nurse be experiencing?

1. Delayed grief 2. Ambiguous loss 3. Complicated grief 4. Disenfranchised grief

Nursing