A nurse anticipates the priority treatment for children diagnosed with Kawasaki disease Is:
High dose Aspirin
Enoxaparin sodium
Corticosteroids
Béta-blockers
The Correct Answer is A
A. High-dose aspirin is given during the acute phase of Kawasaki disease to reduce inflammation, fever, and platelet aggregation. It helps decrease the risk of coronary artery aneurysms.
B. Enoxaparin sodium (an anticoagulant) is not the standard initial treatment for Kawasaki disease.
C. Corticosteroids may be considered in refractory cases but are not the first-line therapy.
D. Beta-blockers are not used for the acute management of Kawasaki disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Prohibiting all activities such as biking or skateboarding can lead to social isolation, decreased self-esteem, and limited physical development. While high-risk activities should be avoided, biking with proper protective equipment can be safe.
B. Allowing unrestricted participation in any sport (such as football, hockey, or wrestling) is unsafe due to the high risk of injury and bleeding in a child with hemophilia.
C. Restricting all sports or physical activity is not appropriate. Physical activity is essential for normal growth, development, socialization, and maintaining joint mobility in children with hemophilia.
D. Encouraging age-appropriate activities with protective gear (such as swimming, biking with a helmet, and non-contact sports) provides a safe balance. It supports physical, social, and emotional development while minimizing the risk of injury and bleeding episodes.
Correct Answer is A
Explanation
A. Providing a safe environment and removing any potential hazards is the priority nursing intervention for a hospitalized child with seizures. During a seizure, the child is at greatest risk for injury from falls, hitting nearby objects, or airway obstruction. The nurse should ensure padded side rails, suction and oxygen at the bedside, and close monitoring to maintain safety.
B. Administering antipyretic medication may help in cases of febrile seizures but is not the priority intervention for overall seizure management. Seizures can occur without fever, so this is not universally appropriate.
C. Encouraging physical activity is important for overall health but is not safe during an acute seizure episode. Activity should be supervised and tailored to the child’s condition.
D. Restricting fluid intake is not a standard intervention for seizures unless there is another comorbidity (such as SIADH). Fluid restriction does not prevent seizures
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