Practice Question
A nurse is caring for a child who has rheumatic fever. When obtaining the child's medical history from the parent, the nurse should recognize the significance of which of the following data as the possible source of the child's infection?
Answer Choices:
Correct Answer:
A sibling who had a sore throat 3 weeks ago
Rationale:
🦠 Rheumatic fever is a delayed autoimmune response to an untreated or inadequately treated group A beta-hemolytic streptococcal (GABHS) pharyngitis, commonly known as strep throat.
🦠 If a sibling had a sore throat 3 weeks ago, it's highly likely the infection was streptococcal in origin and either spread to the child or the child had a subclinical infection that triggered an immune-mediated inflammatory response.
🦠 The typical onset of rheumatic fever symptoms is 2 to 4 weeks after the initial streptococcal infection, aligning with the timeline given in this scenario.
🦠 Prompt treatment of strep throat with appropriate antibiotics (e.g., penicillin) prevents rheumatic fever, but if missed, it can result in carditis, arthritis, chorea, and skin manifestations in children.
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This question is from RN ATI Paediatrics Nur 223G Final Exam which contains 101 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Pediatrics
- Answer Choices: 4