A child is in the acute phase of a disease with findings of a strawberry tongue, irritability, and a non-blistering rash. What disease could the child be experiencing?

Measles

Cardiomyopathy

Tetralogy of Fallot

Kawasaki Disease

Answer and Explanation

The Correct Answer is D

A. Measles: Typically presents with Koplik spots, a maculopapular rash, and fever, not a strawberry tongue or non-blistering rash.

B. Cardiomyopathy: Refers to a disease of the heart muscle; it does not cause a strawberry tongue or rash.

C. Tetralogy of Fallot: A congenital heart defect that presents with cyanosis and heart-related symptoms, not a strawberry tongue or rash.

D. Kawasaki Disease: Characterized by a strawberry tongue, fever, rash, conjunctivitis, and irritability, especially during the acute phase.

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Correct Answer is B

Explanation

A. Methylprednisolone: Methylprednisolone is a corticosteroid used to reduce inflammation but is not the first-line treatment for an acute asthma attack. It is used in the management of longer-term control and inflammation after the initial symptoms are managed.

B. Albuterol: Albuterol is a short-acting beta-agonist (SABA) that provides quick relief by dilating the airways. It is the first medication given during an acute asthma attack to relieve bronchospasm and improve airflow.

C. Montelukast: Montelukast is a leukotriene receptor antagonist used for long-term control and prevention of asthma symptoms but is not used in an acute asthma attack.

D. Fluticasone: Fluticasone is an inhaled corticosteroid used for long-term management of asthma to reduce inflammation, but it is not effective in treating an acute asthma attack.

A. Keep the child home from school for at least 1 week. B. Intramuscular injections will be required monthly. C. Avoid the use of warm compresses around the head or neck. D. Replace the child's toothbrush after 24 hr of taking antibiotics.

Correct Answer is D

Explanation

A. Keep the child home from school for at least 1 week: The child should stay home for at least 24 hours after starting antibiotics, not 1 week, to prevent spreading the infection.

B. Intramuscular injections will be required monthly: This is incorrect. Monthly intramuscular injections of penicillin are used for prophylaxis to prevent rheumatic fever, not for the treatment of acute group A β-hemolytic streptococcal infections.

C. Avoid the use of warm compresses around the head or neck: Warm compresses are not contraindicated for sore throats associated with group A strep infections unless there is an abscess or specific complication. This statement is not relevant.

D. Replace the child's toothbrush after 24 hours of taking antibiotics: The toothbrush should be replaced after 24 hours to prevent re-infection, as the child may still have bacteria in their mouth that can reintroduce the infection.

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A child is in the acute phase of a disease with findings of a strawberry tongue, irritability, and a non-blistering rash. What disease could the child be experiencing?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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