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. Weighing the child: This can be done safely without causing airway obstruction, though it is not the priority in respiratory distress.
B. Assessing the child's vital signs: Necessary to monitor the child's condition and does not exacerbate epiglottitis.
C. Inspecting the child's mouth and throat with a tongue blade: This is contraindicated as it can cause airway spasm and complete obstruction in a child with epiglottitis.
D. Listening to the child's lungs: Safe and part of the assessment for respiratory distress.
Correct Answer is D
Explanation
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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