When caring for a child with Kawasaki disease, the nurse should understand that principle of care?

The child’s fever is usually responsive to antibiotics within 48 hours

The principal area of involvement is the joints

Aspirin is contraindicated

Therapeutic management includes the administration of gamma globulin and aspirin.

Answer and Explanation

The Correct Answer is D

Therapeutic management includes the administration of gamma globulin and aspirin. This is because Kawasaki disease causes inflammation in the walls of small to medium-sized blood vessels that carry blood throughout the body and can lead to complications such as coronary artery aneurysms. Gamma globulin is an intravenous immunoglobulin that can reduce the risk of these complications, and aspirin can help lower fever and inflammation.

Choice A is wrong because the child’s fever is usually not responsive to antibiotics within 48 hours. Kawasaki disease is not caused by a bacterial infection, so antibiotics are not effective.

Choice B is wrong because the principal area of involvement is not the joints. Kawasaki disease affects mainly the blood vessels, but it can also cause swelling in glands (lymph nodes) and mucous membranes inside the mouth, nose, eyes and throat. Joint pain or swelling may occur, but it is not the main feature of the disease.

Choice C is wrong because aspirin is not contraindicated. Aspirin is part of the standard treatment for Kawasaki disease, along with gamma globulin. However, aspirin should be used with caution and under medical supervision, as it can cause Reye’s syndrome in children with viral infections.

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Correct Answer is A

Explanation

choice A.

Infant of an Rh-negative mother and a father who is Rh-positive and homozygous for the Rh factor.

Rh incompatibility occurs when a woman is Rh-negative and her baby is Rh-positive. This can cause hemolytic disease of the neonate (HDN), a condition where the mother’s antibodies destroy the baby’s red blood cells.

Choice B is wrong because if both the mother and the baby are Rh-negative, there is no risk of Rh incompatibility.

Choice C is wrong because if the father is heterozygous for the Rh factor, there is a 50% chance that the baby will be Rh-negative and not affected by Rh incompatibility.

Choice D is wrong because if both the mother and the baby are Rh-positive, there is no risk of Rh incompatibility.

A. Weight loss B. Sleepiness or Fatigue C. Diarrhea D. Puffiness around the eyes E. Limited hair growth

Correct Answer is ["B","D"]

Explanation

Sleepiness or fatigue and puffiness around the eyes are symptoms associated with hypothyroidism. Hypothyroidism is a condition where the thyroid gland does not produce enough thyroid hormones, which regulate the body’s metabolism and energy levels.

Choice A is wrong because weight loss is more likely to occur in hyperthyroidism, a condition where the thyroid gland produces too much thyroid hormones.

Choice C is wrong because diarrhea is also more likely to occur in hyperthyroidism, as the excess thyroid hormones speed up the digestive system.

Choice E is wrong because limited hair growth is not a specific symptom of hypothyroidism. Hair loss or thinning may occur in both hypothyroidism and hyperthyroidism, depending on the severity and duration of the condition.

Normal ranges for thyroid hormones are:

TSH: 0.4 to 4.0 mIU/L
T3: 100 to 200 ng/dL
T4: 4.5 to 11.2 mcg/dL

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When caring for a child with Kawasaki disease, the nurse should understand that principle of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which infant would be more likely to have Rh incompatibility?

Correct Answer is A

Explanation

A child is diagnosed with juvenile hypothyroidism. The nurse should expect to assess which symptoms are associated with hypothyroidism. (Select all that apply.).​​​​​​

Correct Answer is ["B","D"]

Explanation

An Apgar score of 10 at 1 minute after birth would indicate a(n):

It is now recommended that children with asthma who are taking long-term inhaled steroids should be assessed frequently to monitor for increased risk of:

The nurse is caring for a child with suspected diabetes insipidus. Which clinical manifestation would be observable?

As relates to rubella and Rh issues, nurses should be aware that:.

What is an important nursing responsibility when dealing with a family experiencing the loss of an infant from sudden infant death syndrome (SIDS)?

The nurse is meeting a 5-year-old child for the first time and would like the child to cooperate during a dressing change. The nurse decides to do a simple magic trick using gauze. This should be interpreted as:

Which factor is most important in predisposing toddlers to frequent infections such as otitis media, tonsillitis, and upper respiratory tract infections?