When caring for the child with Kawasaki disease, the nurse should understand what principle of care?
The child's fever is usually responsive to antibiotics within 48 hours.
Aspirin is contraindicated.
Therapeutic management includes administration of gamma globulin and aspirin.
The principal area of involvement is the joints.
The Correct Answer is C
The correct answer is choice C. Therapeutic management includes administration of gamma globulin and aspirin.
Choice A rationale:
The child's fever in Kawasaki disease is not usually responsive to antibiotics within 48 hours. Kawasaki disease is an inflammatory condition of blood vessels, and it doesn't typically respond to antibiotics. The fever associated with Kawasaki disease often persists even with appropriate treatment, and the management focuses on reducing inflammation and preventing complications.
Choice B rationale:
Aspirin is not contraindicated in Kawasaki disease. In fact, aspirin is a key component of the therapeutic management of Kawasaki disease. It is used to reduce inflammation and prevent the development of coronary artery aneurysms, a severe complication of the disease. However, the dosing of aspirin in Kawasaki disease is different from its use for pain relief, and it should be administered under medical supervision.
Choice C rationale:
Therapeutic management of Kawasaki disease does include administration of gamma globulin and aspirin. Gamma globulin is given to reduce the risk of coronary artery involvement and aneurysm formation. Aspirin, at a specific dose regimen, is used to decrease inflammation and platelet aggregation, thus preventing clot formation in the coronary arteries.
Choice D rationale:
The principal area of involvement in Kawasaki disease is not the joints. Kawasaki disease primarily affects the blood vessels, particularly the coronary arteries. The inflammation of these arteries can lead to the development of coronary artery aneurysms, which is a critical concern in Kawasaki disease. Joint involvement is not a prominent feature of this condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D","E"]
Explanation
The correct answers are choices A, D, and E. Unequal waist angles, an uneven hemline, and asymmetry of the shoulders.
Choice A rationale:
Unequal waist angles can be an indication of scoliosis, a condition characterized by abnormal lateral curvature of the spine. When the spine curves, it can cause one side of the waist to appear higher than the other, leading to unequal waist angles. This is a key physical finding in scoliosis assessment.
Choice B rationale:
Complaints of a sore back are a non-specific symptom and may not directly indicate scoliosis. While scoliosis can sometimes cause discomfort or pain, it's not the primary assessment finding that the nurse should expect to observe.
Choice C rationale:
Inability to bend at the waist is not a typical assessment finding of scoliosis. Scoliosis primarily involves the lateral curvature of the spine, which can lead to visible asymmetry and postural changes rather than restrictions in bending.
Choice D rationale:
An uneven hemline can be a sign of scoliosis. When the spine curves, it can cause the hips and shoulders to become misaligned, leading to changes in the alignment of clothing and accessories, such as an uneven hemline.
Choice E rationale:
Asymmetry of the shoulders is a common manifestation of scoliosis. One shoulder may appear higher than the other due to the lateral curvature of the spine. This asymmetry is often more noticeable when the child is viewed from behind.
Correct Answer is D
Explanation
The correct answer is choice E. Board games.
Choice A rationale:
Computer games might not be the best choice for a child with osteomyelitis. These games involve prolonged screen time and limited physical movement, which could potentially hinder the child's recovery.
Choice B rationale:
Paper and paints involve a level of physical activity that might not be suitable for a child with osteomyelitis. The child's movement might be restricted due to the condition, and activities that require fine motor skills might not be comfortable for them.
Choice C rationale:
Jack-in-the-box involves sudden surprises and might startle the child, which could be detrimental to their recovery. Children with osteomyelitis might be dealing with pain and discomfort, so it's important to avoid activities that could cause unnecessary distress.
Choice D rationale:
Stuffed animals might be a comforting option for the child. However, the child might also experience pain or discomfort when handling stuffed animals due to their condition. It's better to choose activities that don't involve physical contact that could potentially exacerbate the child's symptoms.
Choice E rationale:
Board games are a suitable choice for a child with osteomyelitis. They provide mental stimulation and entertainment without requiring excessive physical activity. Board games also promote social interaction if played with others, which is important for the child's emotional well-being during their hospital stay.
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