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Multiple Choice

For a child diagnosed with rheumatic fever, which lab findings would the nurse expect to see?

The presence of an elevated antistreptolysin O (ASO) titer is a key lab finding in a child diagnosed with rheumatic fever. Rheumatic fever is a complication that can arise after a streptococcal throat infection, and it is characterized by an immune response to the Group A Streptococcus bacteria. The ASO titer measures antibodies against streptolysin O, which is produced by the streptococcus bacteria. An increased level of ASO indicates that the child has had a recent streptococcal infection, which is essential for diagnosing rheumatic fever. Additionally, elevated levels of inflammatory markers, such as the erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP), can also be present in rheumatic fever; however, the ASO titer specifically confirms the link to previous streptococcal infection. The other options, such as the presence of Reed-Sternberg cells, are associated with other conditions like Hodgkin’s lymphoma, and decreased C-reactive protein levels would not reflect the inflammatory process seen in rheumatic fever. Thus, the elevation of ASO titer is a direct indicator of the underlying streptococcal infection that precip

The presence of an elevated antistreptolysin O (ASO) titer is a key lab finding in a child diagnosed with rheumatic fever. Rheumatic fever is a complication that can arise after a streptococcal throat infection, and it is characterized by an immune response to the Group A Streptococcus bacteria. The ASO titer measures antibodies against streptolysin O, which is produced by the streptococcus bacteria. An increased level of ASO indicates that the child has had a recent streptococcal infection, which is essential for diagnosing rheumatic fever.

Additionally, elevated levels of inflammatory markers, such as the erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP), can also be present in rheumatic fever; however, the ASO titer specifically confirms the link to previous streptococcal infection. The other options, such as the presence of Reed-Sternberg cells, are associated with other conditions like Hodgkin’s lymphoma, and decreased C-reactive protein levels would not reflect the inflammatory process seen in rheumatic fever. Thus, the elevation of ASO titer is a direct indicator of the underlying streptococcal infection that precip