The nurse is performing the initial assessment of a child newly diagnosed with Kawasaki disease. Which symptoms would the nurse expect to assess with this child?

Recent streptococcal infection.

Low-grade fever.

Dry, peeling skin and patchy rash.

Conjunctivitis with exudates.

Answer and Explanation

The Correct Answer is C

Choice A reason: A recent streptococcal infection is not a symptom of Kawasaki disease.
Choice B reason: Kawasaki disease typically presents with a high fever, not a low-grade fever.
Choice C reason: This is the correct choice. Dry, peeling skin and a patchy rash are common symptoms of Kawasaki disease.
Choice D reason: Conjunctivitis in Kawasaki disease typically does not have exudates.

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Correct Answer is B

Explanation

Choice A reason: IV fluid replacement in DKA is typically isotonic, not hypertonic, to avoid rapid changes in osmolality.
Choice B reason: This is correct. While the total body potassium is depleted in DKA, the initial lab values often show hyperkalemia (high potassium) due to the metabolic acidosis, which shifts potassium out of the cells. This can lead to serious cardiac dysrhythmias and even cardiac arrest, making continuous cardiac monitoring and potassium level assessment a top priority.
Choice C reason: Monitoring for hypertension is important, but the primary concern in DKA is managing the acidosis and hyperglycemia.
Choice D reason: This is incorrect. Treatment for DKA involves a continuous IV infusion of regular insulin at a low, steady rate, not high doses of NPH insulin. NPH insulin is an intermediate-acting insulin and is not suitable for the acute management of DKA.

A. Your child will need to take anti-seizure medications for the next couple of years. B. Febrile seizures may increase the risk for later developmental delays. C. Febrile seizures can usually be prevented by giving your child antipyretics when they have a fever. D. Febrile seizures usually do not have any long-term effects.

Correct Answer is ["A","C","D"]

Explanation

Choice A reason: This statement is not typically accurate; anti-seizure medications are not usually required for children who have had febrile seizures.
Choice B reason: There is no strong evidence that febrile seizures increase the risk for developmental delays.
Choice C reason: This is one of the correct choices. Antipyretics can help manage fever and may reduce the likelihood of a febrile seizure.
Choice D reason: This is one of the correct choices. Most children who experience febrile seizures do not have long-term effects or develop epilepsy.

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The nurse is performing the initial assessment of a child newly diagnosed with Kawasaki disease. Which symptoms would the nurse expect to assess with this child?

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Naxlex Comprehensive Predictor Exams

Which of the following is of primary importance for a child who is admitted to the PICU for DKA (diabetic ketoacidosis)?

Correct Answer is B

Explanation

When caring for a four-year-old who has been admitted to the hospital after having a febrile seizure, which of the following statements should be included when educating the parents? Select the two responses that apply:

Correct Answer is ["A","C","D"]

Explanation

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