A 12 year old is suspected of having rheumatic heart disease. ...

[Zulu123]

A 12 year old is suspected of having rheumatic heart disease. What factors would indicate that this child has this disease?
 
  1. The onset of symptoms occurs around 20 days after streptococcus throat infection or scarlet fever.
   2. The child lives in the most common area of the western United States.
   3. The disease produces lesions in the mouth and oropharynx.
   4. The disease results in damage to the peripheral sensory nerves.

Question 2

The nurse reviews the aspects of home care the parents might consider for a 12-year-old child with juvenile idiopathic arthritis (JIA), which include the provision of: (Select all that apply.)
 
  a. Velcro fasteners on shoes
  b. A firm mattress
  c. Leg braces or crutches
  d. Elevated toilet seats
  e. Hand rails in the shower

[CourtneyCNorton]

Answer to Question 1

1
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1. This is the normal course of this disease.
2. Most cases occur in the northeastern part of the United States.
3. The disease produces polyarthritis, carditis, subcu nodules, and a low-grade fever.
4. The disease produces polyarthritis, carditis, St. Vitus Dance, and a low-grade fever.

Answer to Question 2

A, B, D, E
Provision of a firm mattress or bed boards, Velcro fasteners, elevated toilet seats, and hand rails in the shower and near the toilet all facilitate self-care for the child with JIA. Braces and crutches are not necessary.

[Zulu123]

TYSM

[AmberC1996]

Excellent