Rheumatic Fever Nursing Considerations Quiz
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Questions and Answers

What is the appropriate nursing intervention to control joint pain and inflammation in a patient with Rheumatic Fever?

  • Institute seizure precautions
  • Apply alternating heat and cold as prescribed (correct)
  • Administer antibiotics
  • Limit physical exercise
  • When should salicylates and anti-inflammatory agents not be administered to a patient with suspected Rheumatic Fever?

  • Before confirming the diagnosis (correct)
  • After onset of polyarthritis symptoms
  • Only if joint pain worsens
  • During the acute febrile phase
  • What is the significance of urging the child with Rheumatic Fever to inform parents about school contacts with streptococcal throat infection?

  • To ensure timely initiation of seizure precautions
  • To limit physical activity in the child
  • To assess the effectiveness of antibiotic prophylaxis
  • To prevent spreading of the disease in the school (correct)
  • What precaution should be initiated for a child experiencing chorea in the context of Rheumatic Fever?

    <p>Initiate seizure precautions</p> Signup and view all the answers

    When should antibiotics be administered in the management of Rheumatic Fever?

    <p>During the acute febrile phase</p> Signup and view all the answers

    Why should salicylates and anti-inflammatory agents not be instituted before confirming the diagnosis of Rheumatic Fever?

    <p>They may mask polyarthritis symptoms</p> Signup and view all the answers

    What is an important nursing consideration regarding physical exercise for a child with carditis due to Rheumatic Fever?

    <p>Limit physical exercise</p> Signup and view all the answers

    Why is it important for parents to know about streptococcal throat infections at their child's school in the context of Rheumatic Fever?

    <p>To take necessary precautions if infection occurs</p> Signup and view all the answers

    Study Notes

    Nursing Interventions in Rheumatic Fever

    • Administer salicylates and anti-inflammatory agents to control joint pain and inflammation, unless contraindicated.
    • Salicylates and anti-inflammatory agents are not to be given if the patient is suspected to have a viral infection or if there is hypersensitivity.

    Importance of Awareness for Parents

    • Parents should be informed about the potential for streptococcal throat infection among school contacts, as prompt identification and treatment can prevent complications associated with Rheumatic Fever.
    • Knowledge of school contacts helps in monitoring and possibly treating other children, reducing the risk of outbreaks.

    Precautions for Chorea

    • Implement safety precautions for a child experiencing chorea, as they may have an increased risk of injury due to involuntary movements.
    • Close supervision is necessary during activities to prevent falls or accidents.

    Timing of Antibiotic Administration

    • Initiate antibiotic therapy immediately if Rheumatic Fever is diagnosed to eradicate any lingering streptococcal infection and prevent further complications.

    Diagnostic Considerations with Salicylates

    • Do not initiate salicylates or anti-inflammatory agents before confirming a diagnosis of Rheumatic Fever to avoid masking symptoms that are crucial for accurate diagnosis.

    Physical Exercise Guidelines

    • In a child with carditis, limit physical activity to avoid placing stress on the heart until they are cleared by a healthcare provider for more strenuous activities.

    School Health Communication

    • Parents should be proactive in discussing any occurrences of streptococcal infections at their child's school to ensure timely actions and preventative measures are taken to protect their child and minimize risk to others.

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    Description

    Test your knowledge on nursing considerations for managing rheumatic fever, including controlling joint pain and inflammation, providing bed rest, limiting physical exercise in children with carditis, and administering antibiotics and anti-inflammatory agents as prescribed.

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