A nurse is performing an admission assessment of a preschooler who is in the acute phase of Kawasaki disease. Which of the following findings should the nurse expect?

Decreased Heart Rate

Peeling of the soles of the feet

Pain in weight-bearing joints

Fever unresponsive to antipyretics

Answer and Explanation

The Correct Answer is D

A. Decreased heart rate is not typical; children with Kawasaki disease often experience tachycardia.

B. Peeling of the soles of the feet is more commonly observed in the convalescent phase of Kawasaki disease rather than the acute phase.

C. Pain in weight-bearing joints can occur in Kawasaki disease but is not the hallmark symptom during the acute phase.

D. Fever unresponsive to antipyretics is a classic finding in the acute phase of Kawasaki disease, indicating ongoing inflammation and a need for further intervention.

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Correct Answer is D

Explanation

Bradycardia is not typically associated with pulmonary edema; instead, tachycardia is more common as the body tries to compensate for decreased oxygenation.

B. Wheezing may occur in certain respiratory conditions but is not a classic finding in pulmonary edema; instead, crackles or rales are more expected due to fluid accumulation.

C. Pale, dry skin is not characteristic of pulmonary edema; the client may present with cyanosis or clammy skin due to hypoxia.

D. Pink, frothy sputum is a classic sign of pulmonary edema, indicating fluid in the alveoli and is often associated with acute heart failure.

A. "You seem to be having a difficult time right now!" B. "It's natural for you to feel this way now, but things will get better with time." C. "You'd be surprised how many people experience these feelings." D. "Why do you feel like your life isn't worth living?"

Correct Answer is A

Explanation

A. This response validates the client's feelings and opens the door for further conversation without judgment, encouraging the client to express more of their thoughts.

B. While this statement acknowledges the client's feelings, it may seem dismissive or minimize the depth of the client's distress.

C. Telling the client that many people experience similar feelings can invalidate the uniqueness of their grief and may discourage them from sharing more.

D. Asking "Why" may sound accusatory and could make the client feel defensive or misunderstood.

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A nurse is performing an admission assessment of a preschooler who is in the acute phase of Kawasaki disease. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has pulmonary edema. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

A nurse is assessing a client whose partner recently died. The client states, "I don't know what to do without my partner. Life is just not worth living." Which of the following responses should the nurse make?

Correct Answer is A

Explanation

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