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A child is admitted to the pediatric unit with a diagnosis of Kawasaki disease. Which nursing intervention is most appropriate during this initial phase?

A.

Administering antibiotics

B.

Monitoring for signs of coronary artery aneurysms

C.

Providing comfort measures for peeling skin on the hand

D.

Administering intravenous immunoglobulin (IVIG)

Answer and Explanation

The Correct Answer is D

A. Administering antibiotics is not appropriate as Kawasaki disease is not caused by a bacterial infection; it is an inflammatory condition. 

B. While monitoring for signs of coronary artery aneurysms is essential, the immediate intervention needed in the initial phase is to administer IVIG to mitigate inflammation and prevent complications. 

C. Providing comfort measures for peeling skin is supportive but does not address the critical treatment needs in Kawasaki disease. 

D. Administering intravenous immunoglobulin (IVIG) is the priority nursing intervention as it helps reduce inflammation and the risk of developing cardiovascular complications associated with Kawasaki disease.


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Related Questions

Correct Answer is ["4"]

Explanation

Volume (mL) = Desired dose (mg) / Concentration (mg/mL)

In this case:

  • Desired dose = 320 mg
  • Concentration = 400 mg/5 mL = 80 mg/mL

Plugging the values into the formula:

  • Volume = 320 mg / 80 mg/mL = 4 mL

Correct Answer is D

Explanation

A. Avoiding all oily foods is not necessary, as dietary factors have varying effects on acne; instead, moderation is key.

B. Popping pimples can lead to scarring, infection, and further inflammation, making this an inappropriate recommendation for acne management.

C. Using strong astringents can irritate the skin and worsen acne; gentle skin care is more effective for maintaining healthy skin.

D. Washing the face with a gentle cleanser twice a day helps to remove excess oil and dirt without irritating the skin, which is the most appropriate recommendation for managing acne during puberty.

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