A 10 yrs old girl develops sub cutaneous nodules over skin of her arms and torso 3 weeks after acute pharyngitis. She manifests choreiform movements and complains of pain in hip and knee joints. On auscultation, a friction rub is detected. Which of the following tests will be helpful in diagnosis of disease?

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Question 1 of 5

A 10 yrs old girl develops sub cutaneous nodules over skin of her arms and torso 3 weeks after acute pharyngitis. She manifests choreiform movements and complains of pain in hip and knee joints. On auscultation, a friction rub is detected. Which of the following tests will be helpful in diagnosis of disease?

Correct Answer: A

Rationale: Antistreptolysin O (ASO) titer supports a diagnosis of rheumatic fever, indicated by post-streptococcal pharyngitis, nodules, chorea, arthritis, and pericarditis (friction rub).

Question 2 of 5

What information would the nurse include when teaching a women's group about ways to prevent hypertension?

Correct Answer: C

Rationale: Primary prevention of hypertension is to make lifestyle modifications that prevent or delay the increase in BP.

Question 3 of 5

What side effect should the nurse monitor for in a client prescribed spironolactone for heart failure?

Correct Answer: B

Rationale: Spironolactone is a potassium-sparing diuretic, which can lead to hyperkalemia.

Question 4 of 5

Which side effect should be immediately reported in a patient taking amiodarone?

Correct Answer: C

Rationale: Pulmonary toxicity is a severe adverse effect of amiodarone, indicated by a dry cough and dyspnea.

Question 5 of 5

What is the nurse's priority action if a client receiving IV quinidine reports ringing in their ears and visual disturbances?

Correct Answer: B

Rationale: Ringing in the ears and visual disturbances may indicate quinidine toxicity.

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