A child diagnosed with Kawasaki disease is brought to the clinic. The mother reports that her child is irritable, refuses to eat, and has skin peeling on both hands and feet.
Which intervention should the nurse instruct the mother to implement first?
Apply lotion to hands and feet.
Encourage the child to rest when possible.
Place the child in a quiet environment.
Make a list of foods that the child likes.
The Correct Answer is C
The nurse should instruct the mother to place the child in a quiet environment first. Kawasaki disease is an illness that can cause inflammation in the blood vessels and can lead to symptoms such as irritability and skin peeling. Placing the child in a quiet environment can help reduce stimulation and promote rest, which can help improve the child's symptoms. The other options (A, B, and D) may also be helpful, but placing the child in a quiet environment is a key intervention in this situation.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1.3"]
Explanation
1.3 mL of amoxicillin suspension with each dose.
To calculate the correct dose of amoxicillin to give to the child, follow these steps:
Step 1: Convert the child's weight from pounds to kilograms. 18 pounds ÷ 2.2 = 8.18 kilograms
Step 2: Calculate the total daily dose of amoxicillin. 25 mg/kg/day x 8.18 kg = 204.5 mg/day
Step 3: Divide the total daily dose into two equal doses to be given every 12 hours. 204.5 mg/day ÷ 2 doses = 102.25 mg/dose
Step 4: Determine how many mL of the suspension contain 102.25 mg of amoxicillin. 400 mg/5 mL = 80 mg/mL 102.25 mg ÷ 80 mg/mL = 1.28 mL

Correct Answer is C
Explanation
To determine a possible urinary tract infection in a preschool-aged child who presents with flank pain, dysuria, and low-grade fever, the nurse should gather additional information from the parent about new onset bedwetting. New onset bedwetting can be a sign of a urinary tract infection in children. The other options (A, B, and D) are not directly related to determining a possible urinary tract infection in this situation.

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