Author Question: A diagnosis of rheumatic fever is being ruled out for a child. The nurse teaches the parents that ... (Read 46 times)

elizabeth18 · **on:** Jun 27, 2018

A diagnosis of rheumatic fever is being ruled out for a child. The nurse teaches the parents that the lab test to check for a recent streptococcal infection is

1. throat culture.
2. antistreptolysin-O (ASLO) titer.
3. erythrocyte sedimentation rate.
4. C-reactive protein.

Question 2

A nursing intervention for an unstable infant who has supraventricular tachycardia is (Select all that apply.)

1. application of ice to the face.
2. administration of intravenousadenosin e (Adenocard).
3. administration of intravenousamiodaro ne (Cardarone).
4. preparation for cardioversion.

underwood14 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

Answer:2
Rationale: The lab test for antistreptococcal antibodies is an antistreptolysin-O (ASLO) titer. An erythrocyte sedimentation rate and a C-reactive protein can indicate inflammation. A culture can indicate a current streptocococcal infection.

Answer to Question 2

Answer:2,3,4
Rationale:Supraventricular tachycardia episodes are initially treated with vagal maneuvers to slow the heart rate when the infant is stable.In stable infants the application of ice or iced saline solution to the face may reduce the heart rate. Adenosine or amiodarone may be given when the vagal maneuvers are unsuccessful.Cardio version is used in an urgent situation.