A nurse is caring for an 18-month-old toddler in the emergency department who has Kawasaki disease. The nurse reviews the toddler's medical record and assessment findings. Which of the following provider prescriptions should the nurse anticipate?
Intravenous immunoglobulin (IVIG)
Aspirin
Penicillin
Acetaminophen
The Correct Answer is A
Choice A reason: Intravenous immunoglobulin (IVIG) is the main treatment for Kawasaki disease, as it reduces the inflammation of the blood vessels and the risk of coronary artery aneurysms. IVIG is given as a single infusion over 10 to 12 hours, within the first 10 days of the onset of fever.
Choice B reason: Aspirin is also used to treat Kawasaki disease, as it reduces the fever, pain, and inflammation. However, it is not the first-line treatment, and it is given after IVIG to prevent thrombosis and platelet aggregation. Aspirin is given at a high dose during the acute phase, and then at a low dose until the inflammation subsides.
Choice C reason: Penicillin is not indicated for Kawasaki disease, as it is an antibiotic that treats bacterial infections. Kawasaki disease is not caused by bacteria, but by an unknown trigger that activates the immune system and causes systemic vasculitis.
Choice D reason: Acetaminophen is not effective for Kawasaki disease, as it does not reduce the inflammation or the risk of complications. Acetaminophen may be used to treat mild pain or fever, but it is not the main treatment. Moreover, acetaminophen may mask the fever and delay the diagnosis of Kawasaki disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Wheat is not a suitable food choice for a child who has celiac disease, as it contains gluten, a protein that triggers an immune response and damages the small intestine in people with celiac disease. Wheat is found in many breads, cereals, pastas, and baked goods, and it should be avoided by the child.
Choice B reason: Rice is a suitable food choice for a child who has celiac disease, as it is a gluten-free grain that does not cause any adverse reactions in people with celiac disease. Rice can be eaten plain or cooked with other gluten-free ingredients, such as vegetables, meat, or dairy.
Choice C reason: Barley is not a suitable food choice for a child who has celiac disease, as it contains gluten, a protein that triggers an immune response and damages the small intestine in people with celiac disease. Barley is found in some soups, stews, beers, and malt products, and it should be avoided by the child.
Choice D reason: Rye is not a suitable food choice for a child who has celiac disease, as it contains gluten, a protein that triggers an immune response and damages the small intestine in people with celiac disease. Rye is found in some breads, crackers, cereals, and whiskey, and it should be avoided by the child.
Correct Answer is A
Explanation
Choice A reason: This test will confirm if your child had a recent streptococcal infection, as it measures the level of antibodies that the body produces against the streptolysin O enzyme, which is produced by some strains of streptococcal bacteria. A high ASO titer indicates a recent or current streptococcal infection, which can trigger rheumatic fever in some children.
Choice B reason: This test will not indicate if your child has rheumatic fever, as it does not measure the inflammation or damage to the heart, joints, or other organs that rheumatic fever can cause. Rheumatic fever is diagnosed based on the presence of two major or one major and two minor criteria, as well as evidence of a preceding streptococcal infection.
Choice C reason: This test will not indicate if your child has a therapeutic blood level of an aminoglycoside, as it does not measure the concentration of this type of antibiotic in the blood. Aminoglycosides are used to treat serious infections caused by gram-negative bacteria, and their blood levels need to be monitored to prevent toxicity and ensure efficacy.
Choice D reason: This test will not confirm if your child has immunity to streptococcal bacteria, as it does not measure the level of protective antibodies that can prevent future infections. ASO antibodies are not protective, but rather indicate a past or present exposure to streptococcal bacteria.
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