A 3-year-old patient is diagnosed with Kawasaki disease. An intervention that is important for management of symptoms as well as prevention of complications is:
aspirin.
corticosteroids.
penicillin.
acetaminophen.
The Correct Answer is A
Rationale:
A. Aspirin is the mainstay of treatment in Kawasaki disease. It serves two critical purposes: reducing inflammation and fever, and preventing coronary artery aneurysms by inhibiting platelet aggregation. High doses are used initially for anti-inflammatory effects, followed by lower doses for antiplatelet therapy.
B. Corticosteroids may be considered in refractory cases but are not first-line therapy for all patients.
C. Penicillin is not used, as Kawasaki disease is not caused by a bacterial infection.
D. Acetaminophen can reduce fever and discomfort but does not prevent cardiovascular complications and is therefore not sufficient as primary therapy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Formal neuropsychological testing is more appropriate for older children who can follow complex instructions; it is not suitable for a 2-year-old.
B. IQ tests require certain language and cognitive skills that a 2-year-old may not yet possess, limiting their utility at this age.
C. Radiographic evaluation can identify structural abnormalities but does not assess functional cognitive abilities.
D. Assessment of developmental milestones is the most practical and effective method for detecting cognitive impairment in a 2-year-old. Tracking language, motor, social, and problem-solving skills provides a reliable indication of cognitive development relative to age norms.
Correct Answer is C
Explanation
Rationale:
A. Nasal grunting is a sound produced during exhalation due to partial airway obstruction, not visible enlargement of the nostrils.
B. Nasal stridor refers to a high-pitched sound during breathing caused by upper airway obstruction, not the physical widening of nasal openings.
C. Nasal flaring is the visible enlargement of both nostrils during inspiration, often seen in infants and young children as a sign of respiratory distress. It helps reduce airway resistance and increase airflow.
D. Nasal obstruction is a blockage of nasal passages and does not describe the outward flaring of nostrils.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.