QuestionAugust 13, 2025

99-A nurse is caring for an 8-year-old child who has acute rheumatic fever. Which of the following assessments is the nurse after admission? Identifying the degree of parental anxiety related to the diagnosis tool to determine the severity of the joint pain Assessing the client's erythematous rash Auscultating the rate and characteristics of the child's heart sounds

99-A nurse is caring for an 8-year-old child who has acute rheumatic fever. Which of the following assessments is the nurse after admission? Identifying the degree of parental anxiety related to the diagnosis tool to determine the severity of the joint pain Assessing the client's erythematous rash Auscultating the rate and characteristics of the child's heart sounds
99-A nurse is caring for an 8-year-old child who has acute rheumatic fever. Which of the
following assessments is the nurse after admission?
Identifying the degree of parental anxiety related to the diagnosis
tool to determine the severity of the joint pain
Assessing the client's erythematous rash
Auscultating the rate and characteristics of the child's heart sounds

Solution
4.1(186 votes)

Answer

Auscultating the rate and characteristics of the child's heart sounds Explanation 1. Understand the context of acute rheumatic fever Acute rheumatic fever is an inflammatory disease that can develop after a Group A Streptococcus infection. It primarily affects the heart, joints, skin, and brain. The nurse's assessment should focus on symptoms directly related to these areas. 2. Evaluate each assessment option - Identifying parental anxiety is important but not directly related to the child's immediate physical condition. - Using a pain rating tool is relevant as joint pain is a common symptom of acute rheumatic fever. - Assessing erythematous rash is pertinent since skin manifestations can occur with this condition. - Auscultating heart sounds is crucial because rheumatic fever can affect the heart valves, leading to murmurs or other changes in heart sounds. 3. Determine the most critical initial assessment While all options are relevant, auscultating the heart sounds is the most critical initial assessment due to the potential for cardiac involvement, which can have serious implications.

Explanation

1. Understand the context of acute rheumatic fever<br /> Acute rheumatic fever is an inflammatory disease that can develop after a Group A Streptococcus infection. It primarily affects the heart, joints, skin, and brain. The nurse's assessment should focus on symptoms directly related to these areas.<br />2. Evaluate each assessment option<br /> - Identifying parental anxiety is important but not directly related to the child's immediate physical condition.<br /> - Using a pain rating tool is relevant as joint pain is a common symptom of acute rheumatic fever.<br /> - Assessing erythematous rash is pertinent since skin manifestations can occur with this condition.<br /> - Auscultating heart sounds is crucial because rheumatic fever can affect the heart valves, leading to murmurs or other changes in heart sounds.<br />3. Determine the most critical initial assessment<br /> While all options are relevant, auscultating the heart sounds is the most critical initial assessment due to the potential for cardiac involvement, which can have serious implications.
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