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 C

Explanation

A. "He is always hungry.": This is not typically a sign of a congenital heart defect. Many infants are hungry frequently as they grow, so this would not be an alerting sign.

B. "He is fussy for several hours every day.": Fussiness is common in infants and does not necessarily indicate a congenital heart defect.

C. "He tires out during feedings.": This is a concerning sign. Infants with congenital heart defects often have difficulty feeding due to poor oxygenation and energy reserves. Fatigue during feedings is a common symptom of heart defects.

D. "He sleeps all the time.": Sleeping a lot could be normal for a 1-month-old infant, and it would not necessarily indicate a congenital heart defect unless the infant is lethargic or difficult to rouse.

A. Used to treat Inflammation and swelling B. Used in the treatment of hypertension and dysrhythmias C. Used in the treatment of Cystic fibrosis to help break up thick secretions. D. Used in the treatment of hypertension and edema

Correct Answer is D

Explanation

A. Used to treat inflammation and swelling: Furosemide (Lasix) does not treat inflammation. It is a diuretic used to reduce fluid retention (edema), not inflammation.

B. Used in the treatment of hypertension and dysrhythmias: Furosemide is primarily used in the treatment of hypertension and edema, not dysrhythmias.

C. Used in the treatment of cystic fibrosis to help break up thick secretions: Furosemide is not used for cystic fibrosis; it is a loop diuretic used for fluid retention and hypertension.

D. Used in the treatment of hypertension and edema: Furosemide (Lasix) is a loop diuretic that helps to reduce fluid buildup (edema) and lower blood pressure in conditions such as heart failure, chronic kidney disease, and hypertension.

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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

Which comment made by a parent of a 1-month old would alert the nurse about the presence of a congenital heart defect?

Correct Answer is C

Explanation

. Match the drug Furosemide (Lasix) with its correct therapeutic use?

Correct Answer is D

Explanation

A nurse is reinforcing teaching to the parent of a child who has a prescription for liquid oral iron supplements. Which of the following statements by the parent indicates an understanding of the teaching?

A nurse is reinforcing discharge teaching with the parents of a child who has cystic fibrosis. Which of the following instructions should the nurse include?

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A nurse is caring for a 2-year old who has a heart defect and is scheduled for a cardiac catheterization. Which of the following actions should the nurse take?

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What classic sign would the nurse, auscultating breath sounds of a child hospitalized for an asthma attack, expect to find?

A father asks why his child with Tetralogy of Fallot seems to favor a squatting position. What is the nurse's best response?

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