A child with rheumatic fever begins involuntary, purposeless movements of her limbs. What does the nurse recognize that this indicates?
a. Seizure activity
b. Hypoxia
c. Sydenham's chorea
d. Decreasing level of consciousness
ANS: C
As the effects of rheumatic fever affect the central nervous system, the child may develop Sydenham's chorea, manifested by involuntary, purposeless movements of the limbs.
You might also like to view...
The nurse is taking an initial blood pressure reading on a 72-year-old patient with documented hypertension. How should the nurse proceed?
a. Cuff should be placed on the patient's arm and inflated 30 mm Hg above the patient's pulse rate. b. Cuff should be inflated to 200 mm Hg in an attempt to obtain the most accurate systolic reading. c. Cuff should be inflated 30 mm Hg above the point at which the palpated pulse disappears. d. After confirming the patient's previous blood pressure readings, the cuff should be inflated 30 mm Hg above the highest systolic reading recorded.
An older female nursing home resident begins to forget where activities occur, so the nurse engages her in reminiscence. Which goal of reminiscence is the most relevant to improve the nurse's communication with this elder?
a. Provides cognitive stimulation b. Obtain information about fears c. Offers a pleasurable experience d. Can improve depressive symptoms
The nurse is developing a nursing care plan for a patient who is being treated for hypertension. What is a measurable patient outcome that the nurse should include?
A) Patient will reduce Na+ intake to no more than 2.4 g daily. B) Patient will have a stable BUN and serum creatinine levels. C) Patient will abstain from fat intake and reduce calorie intake. D) Patient will maintain a normal body weight.
A nurse is to obtain a urine specimen for culture and sensitivity from a client who has an indwelling urinary catheter connected to a closed drainage system. The specimen should be collected from:
a. the collection bag c. the collecting tubing b. the catheter d. the tubing and the collection bag