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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Ice Hockey: Cold temperatures and physical exertion can trigger a sickle cell crisis by causing vasoconstriction and hypoxia.
B. Tackle American Football: High-impact, strenuous activities increase oxygen demand, putting the child at risk for a crisis.
C. Art Club: A non-strenuous activity that avoids physical strain, dehydration, or extreme temperatures, making it safe for children with sickle cell anemia.
D. Basketball: While it’s not as physically demanding as some sports, it still involves moderate to intense exertion, which could precipitate a crisis.
Correct Answer is B
Explanation
A. "Bradycardia is an early indicator of a pneumothorax.": Bradycardia is not an early indicator of a pneumothorax. Common signs of pneumothorax in cystic fibrosis include sudden chest pain, difficulty breathing, and decreased breath sounds, not bradycardia.
B. "Administer a bronchodilator to the child after chest percussion therapy.": Chest percussion helps loosen secretions, and bronchodilators should be administered after the therapy to help open the airways and allow the mucus to be cleared more effectively.
C. "Engage the child in daily aerobic exercise.": While exercise is beneficial for children with cystic fibrosis, it should be tailored to the child's physical condition. Aerobic exercise might not be suitable for all children with CF, especially during exacerbations or respiratory distress.
D. "A pigeon-shaped chest might become evident as the disease progresses.": While a pigeon-shaped chest (pectus carinatum) can occur with CF due to chronic lung infections and hyperinflation, it is not the most immediate concern compared to respiratory therapy or infection control.
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