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A 3-year-old patient is admitted to the Emergency Room

Vital signs

Temperature-102.3

Weight 16 kg

Respiratory rate-44

Blood pressure- 98/62

Heart rate-122

History of present illness

Mom brought the child to the ER presenting with a fever for 6 days a strawberry tongue, cervical lymphadenopathy, and irritable

Complete the following sentence from the list of options

The patient is at the highest risk for developing.......

evidenced by the patient's diagnosis of …....

Answer and Explanation

The Correct Answer is ["Kawasaki disease"," evidenced by the patient's diagnosis of fever for 6 days"," strawberry tongue"," cervical lymphadenopathy"," and irritability."]

Kawasaki disease, evidenced by the patient's diagnosis of fever for 6 days, strawberry tongue, cervical lymphadenopathy, and irritability.

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Correct Answer is ["A","E"]

Explanation

The findings that indicate a diagnosis of Acute Kidney Injury (AKI) in a 5-year-old patient are:

A. Peripheral Edema: Peripheral edema, or swelling in the extremities, can be a sign of fluid retention due to impaired kidney function in AKI.

E. Oliguria: Oliguria, which is a decreased urine output, is a common sign of AKI. It can be defined as a urine output of less than 0.5 mL/kg/hour in children.

The other findings mentioned (B, C, and D) do not specifically indicate a diagnosis of AKI:

B. Blood pressure of 112/70: The blood pressure within this range is not necessarily indicative of AKI on its own.

C. Potassium level of 4.7 (normal: 3.5-5.0 mmol/L): While abnormal potassium levels can be associated with AKI, a potassium level of 4.7 mmol/L is within the normal range.

D. Diarrhea: Diarrhea is not typically a direct symptom of AKI but may be seen in various other conditions or as a result of electrolyte imbalances associated with kidney dysfunction.

A. Vomiting for 2 days B. A recent episode of pharyngitis C. Lack of interest in food D. A fever that started 3 days ago

Correct Answer is B

Explanation

When obtaining the history of a child with suspected rheumatic fever, the nurse should consider the following information to be most significant:

B. A recent episode of pharyngitis.

Explanation:

Rheumatic fever often follows an untreated or inadequately treated streptococcal pharyngitis (strep throat) infection caused by Group A Streptococcus bacteria. Therefore, a recent episode of pharyngitis is a key piece of information in the context of rheumatic fever. It is important to assess whether the child had a sore throat, fever, and other symptoms of streptococcal infection that may have triggered the development of rheumatic fever.

While the other symptoms (vomiting, lack of interest in food, fever) may be important for the overall assessment and management of the child, they are not as directly associated with the development of rheumatic fever as a recent episode of pharyngitis caused by Group A Streptococcus. Rheumatic fever is an autoimmune response to untreated streptococcal infection, and its diagnosis is often linked to the presence of preceding streptococcal pharyngitis.

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Naxlex Comprehensive Predictor Exams

A 5-year-old patient is brought into the Emergency Room and is diagnosed with an Acute Kidney injury (AKI). Which findings indicate this diagnosis?

Correct Answer is ["A","E"]

Explanation

Molly, with suspected rheumatic fever, is admitted to the pediatric unit. When obtaining the child's history, the nurse considers which information to be most

Correct Answer is B

Explanation

Archie who weighs 44 tb has been given an order for amoxilin 500 mg bid to take before a dentist appointment based on his history of infective endocans. The drug test shows that the daily dose of amoecitin is 50 mg/kg/day in two divided doses. What dose in milligrams is safest for this child?

Which of the following options gives a nurse the most accurate diagnostic picture of a cardiac issue?

A mother calls her pediatrician's office concerned about her 7-month-old son. She gave him peanuts for the second time for lunch and he has vomited three times is coughing and looks flushed. What is the priority of the nurse?

A nurse on a mother-baby unit is caring for a 2-day-old baby boy. The patient was seen by a urologist at 0000 and was diagnosed with hypospadias, Which order by the pediatrician is contraindicated?

What is the advantage of teaching to the family about continuous cycling peritoneal dialysis (CCPD) or continuous ambulatory peritoneal (CAPD) for adolescents who require dialysis?

A 2-month-old patient has a history of phimosis What statement by the father indicates a need for further teaching?

A pediatric nurse is seeing a B-year-old following a post-cardiac catheterization procedure. Which of the following interventions ordered by the physician should be questioned by the nurse? [Select All that Apply)

Nurse Ashley is caring for a 6-year-old female patient in an outpatient doctor's office Patient Results Leukocytes: Nitrates Urobil Protein PH 6.5 Blood Spec Gravity 1.020 Ketones Bilirubin Glucose Based on the patient's presentation, what would the nurse anticipate her diagnosis to be?