A client has had an upper respiratory infection with pharyngitis. This client could develop rheumatic heart disease as a complication due to which bacteria or virus?
a. MRSA c. group B streptococ-cus
b. influenza virus A d. group A streptococ-cus
D
Rheumatic heart disease is a complication of rheumatic fever and is also linked to group A streptococcus after an upper respiratory infection. Rheumatic fever is a systemic inflammatory disease that occurs 2 to 3 weeks after an inadequately treated pharyngitis caused by group A beta-hemolytic streptococcus. Symptoms of rheumatic fever are a mild fever, polyarthritis, carditis, chorea, and a rash.
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The nurse is preparing to ambulate the client in the hall. Which action by the nurse is a strategy to reduce the client's risk of falls?
1. Encouraging client to wear nonskid footwear 2. Cautioning the client about cords or clutter on the floor 3. Encouraging the client to continue walking after complaints of feeling tired 4. Acting as the client's means of support instead of using a walker to provide additional support
A patient tells the nurse that he is 65 years old and has not had a cold or any other type of infection for at least 30 years. Which assumption can the nurse make about this patient's immune system?
1. The patient's lymph nodes must be engorged with bacteria. 2. The patient must have intact and functioning MHC receptors. 3. The patient has rapidly proliferating white blood cells. 4. The patient's spleen is probably enlarged.
While planning care for obese patients, two nurses are contrasting the differences between orlistat (Xenical) and other weight-loss agents
Which of the following statements best demonstrates how orlistat is different from most weight-loss drugs? a. It reduces fat absorption in the intestines. b. It suppresses the appetite center in the brain. c. It increases the metabolism to help burn calories. d. It increases serotonin levels and improves mood.
A mother brings her 6-month-old infant to the clinic for a well-baby checkup. How should the nurse proceed when weighing the patient?
a. Have the mother remain outside the room. b. Ask the mother to remove the infant's clothing and diaper. c. Weigh the infant with the diaper only. d. Place the infant supine on the scale with his knees extended.