The nurse caring for a child diagnosed with acute rheumatic fever ...

[123654777]

The nurse caring for a child diagnosed with acute rheumatic fever should assess the child for
 
  a. Sore throat
  b. Elevated blood pressure
  c. Desquamation of the fingers and toes
  d. Tender, warm, inflamed joints

Question 2

What corresponds to a 5-year-old child's understanding of death?
 
  a. Loss of a caretaker
  b. Reversible and temporary
  c. Permanent
  d. Inevitable

[lauravaras]

Answer to Question 1

D
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A The child may have had a sore throat previously associated with a group A
beta-hemolytic streptococcal infection a few weeks earlier. A sore throat is not a
manifestation of rheumatic fever.
B Hypertension is not associated with rheumatic fever.
C Desquamation of the fingers and toes is a manifestation of Kawasaki syndrome.
D Arthritis, characterized by tender, warm, erythematous joints, is one of the major
manifestations of acute rheumatic fever in the first 1 to 2 weeks of the illness.

Answer to Question 2

B
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A This is the infant/toddler understanding of death.
B Children in early childhood (2 to 7 years old) view death as reversible and
temporary.
C The school-age child and adolescent understand that death is permanent.
D The adolescent understands death not only as permanent, but also inevitable.