Nursing evaluation and common diagnosis of rheumatic fever in children.

Answer: (1) Nursing evaluation: ① Health history, asking whether the child had symptoms of upper respiratory tract infection, fever, joint pain, rash, mental abnormality or involuntary exercise before onset, and whether he had a history of heart disease or arthritis in the past; ② Physical condition, measuring vital signs, and paying attention to whether the acceleration of heart rate is directly proportional to the increase of body temperature; Auscultation reduces unintentional sound, galloping rhythm and heart murmur; Check the joints of limbs for redness, fever, disease and limited movement; Whether there is a rash, especially on the trunk and joints. Understand ECG, X-ray film and experimental examination results; ③ Psychosocial status, assessment of anxiety of children and their parents, understanding of disease prognosis, nursing methods of diseases, side effects of drugs, prevention of recurrence, etc. (2) Common nursing diagnosis/problems: ① Decreased cardiac output is related to heart damage; ② Pain is related to joint involvement; ③ High fever is related to infection; ④ Anxiety is related to the threat of disease.