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: A soft diet is appropriate for a toddler who has a cleft palate repair, as it prevents trauma to the surgical site and promotes healing. The nurse should avoid foods that are hard, sticky, or spicy.
Choice B reason: Offering fluids through a straw is not an appropriate action, as it can create negative pressure in the mouth and disrupt the suture line. The nurse should offer fluids with a cup or a spoon.
Choice C reason: Administering opioids for pain is not an appropriate action, as opioids can cause respiratory depression and sedation in toddlers. The nurse should use non-opioid analgesics such as acetaminophen or ibuprofen, unless otherwise prescribed.
Choice D reason: Applying bilateral wrist restraints is not an appropriate action, as it can cause injury and distress to the toddler. The nurse should use other methods to prevent the toddler from touching the surgical site, such as distraction, toys, or mittens.
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