A child with which condition will most likely have immunizations delayed following treatment?

Rheumatic fever.

Epiglottitis.

RSV.

Kawasaki disease.

Answer and Explanation

The Correct Answer is D

A. Rheumatic fever does not typically interfere with immunizations. Immunizations may proceed after the child recovers from an acute episode.

B. Epiglottitis is an acute emergency and does not directly affect the timing of immunizations.

C. Respiratory syncytial virus (RSV) does not delay immunizations, although the child should be stable before receiving them.

D. Immunizations may be delayed in children who are receiving treatment for Kawasaki disease due to the immunosuppressive nature of the treatment, especially with intravenous immunoglobulin (IVIG), which can interfere with live vaccines.

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Correct Answer is D

Explanation

A. Suctioning should be avoided as it can cause trauma to the surgical site.

B. The infant should be fed with a soft, small spoon or syringe to prevent pressure on the surgical site; feeding with a spoon is generally not recommended for the first 48 hours.

C. The infant should be kept in an upright or semi-upright position to minimize risk of aspiration and promote healing after cleft palate surgery.

D. Elbow restraints should be applied to prevent the infant from touching the surgical site and causing trauma, and they should be removed every hour for assessment.

A. Gastrointestinal B. Respiratory C. Cardiovascular D. Integumentary

Correct Answer is C

Explanation

A. While gastrointestinal symptoms like vomiting and diarrhea can occur, the primary concern in Kawasaki disease is cardiovascular.

B. Respiratory involvement is not typically the primary concern in Kawasaki disease, though respiratory symptoms may occur.

C. Kawasaki disease primarily affects the cardiovascular system, leading to inflammation of blood vessels and increased risk for coronary artery aneurysms.

D. The integumentary system (e.g., rash) is affected in Kawasaki disease, but cardiovascular monitoring is the most critical aspect.

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A child with which condition will most likely have immunizations delayed following treatment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a 10-month-old infant who is 8 hr postoperative following cleft palate repair. Which of the following interventions should the nurse include in the infant's plan of care?

Correct Answer is D

Explanation

A nurse is caring for a child who has Kawasaki disease. Which of the following systems should the nurse monitor in response to this diagnosis?

Correct Answer is C

Explanation

A nurse is providing teaching about iron deficiency anemia to the parents of a toddler. Which of the following should the nurse recommend as a method of preventing iron deficiency anemia?

A parent asks the nurse which foods to give her infant first. Which is the best order for solid food introduction?

While in the pediatrician's office for their child's 12-month well child exam, the parents ask the nurse for advice on age-appropriate toys for their child. Based on the child's developmental level, which type of toy should the nurse suggest?

A child with which condition will most likely have immunizations delayed following treatment?

A nurse in a pediatric clinic is caring for a child who has iron deficiency anemia and a new prescription for ferrous sulfate tablets. Which of the following instructions should the nurse provide the parents regarding administration of this medication?

A parent questions the nurse about puberty. Which of the following findings will indicate the end of puberty for girls?

During a 6-month-old's well child checkup, the nurse discusses introduction of solid foods into the infant's diet. Which foods should the nurse instruct the parents to delay introduction of until after one year of age due to potential allergy development?