CCNS Certified Clinical Nurse Specialist

Answer - D - On admission, the nurse should ask the mother a question to elicit assessment information specific to the development of rheumatic fever. The appropriate question would be: “did the child have a sore throat or fever within the last two months?” Rheumatic fever characteristically presents two to six weeks after an untreated or partially treated beta-hemolytic streptococcal infection of the upper respiratory tract. Initially, the nurse determines whether the child has had a sore throat or an unexplained fever within the past two months.