Following the acute inflammatory phase of rheumatic fever, which ...

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Following the acute inflammatory phase of rheumatic fever, which of the following cardiac pathologies is evident?
 
  a. enlargement of the heart
  b. inflammation of the pleura
  c. changes in the firing from the Purkinje fibers with irregular beats
  d. valvulitis with the most affected valve being the mitral valve

Question 2

After calculating that the dose is correct, the nurse must also be aware of the possible toxic side effects of the medication. Children are more susceptible to these effects because:
 
  a. Children require a larger dose of medication than adults
  b. Drug reactions are more predictable in children than adults
  c. Children react more quickly and violently to medication than adults
  d. Growth and development are not affected by drugs

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Answer to Question 1

D

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A Incorrect. Following the acute inflammatory phase of rheumatic fever, the most significant cardiac pathophysiological phenomena is not enlargement of the heart.
B Incorrect. Following the acute inflammatory phase of rheumatic fever, the most significant cardiac pathophysiological phenomena is not inflammation of the pleura.
C Incorrect. Following the acute inflammatory phase of rheumatic fever, the most significant cardiac pathophysiological phenomena is not changes in the firing from the Purkinje fibers with irregular beats.
D Correct. Following the acute inflammatory phase of rheumatic fever, the most significant cardiac pathophysiological phenomena is valvulitis with the most affected valve being the mitral valve. Valvulitis is responsible for mitral valve deformity that results in mitral regurgitation.

Answer to Question 2

C
Children require a smaller dose of medication than adults. Drug reactions are less predictable in children. Children's growth and development may be affected by some drugs. Children do react more quickly and violently to medications than adults and require careful monitoring.