Author Question: Which action by the school nurse is important in the prevention of rheumatic fever? a. Encourage ... (Read 71 times)

vicky · **on:** Jun 28, 2018

Which action by the school nurse is important in the prevention of rheumatic fever?

a. Encourage routine cholesterol screenings.
b. Conduct routine blood pressure screenings.
c. Refer children with sore throats for throat cultures.
d. Recommend salicylates instead of acetaminophen for minor discomforts.

Question 2

Nursing interventions for the child after a cardiac catheterization include which of the following (Select all that apply)?

a. Allow ambulation as tolerated.
b. Monitor vital signs every 2 hours.
c. Assess the affected extremity for temperature and color.
d. Check pulses above the catheterization site for equality and symmetry.
e. Remove pressure dressing after 4 hours.
f. Maintain a patent peripheral intravenous catheter until discharge.

bimper21 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: C
Nurses have a role in preventionprimarily in screening school-age children for sore throats caused by group A -hemolytic streptococci. They can achieve this by actively participating in throat culture screening or by referring children with possible streptococcal sore throats for testing. Cholesterol and blood pressure screenings do not facilitate the recognition and treatment of group A -hemolytic streptococci. Salicylates should be avoided routinely because of the risk of Reye's syndrome after viral illnesses.

Answer to Question 2

ANS: C, F
The extremity that was used for access for the cardiac catheterization must be checked for temperature and color. Coolness and blanching may indicate arterial occlusion. The child should have a patent peripheral intravenous line to ensure adequate hydration. Allowing ambulation, monitoring vital signs every 2 hours, checking pulses, and removing the pressure dressing after 4 hours are interventions that do not apply to a child after a cardiac catheterization.