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 B

Explanation

A. Arterial blood gases (ABGs) are typically used to assess respiratory function and acid-base balance, which are not primary concerns with valproic acid use.

B. Serum liver enzyme levels are critical to monitor due to the risk of hepatotoxicity associated with valproic acid therapy, making this test essential for safe management.

C. A chest X-ray is generally used to assess respiratory conditions, not relevant for monitoring the effects of valproic acid.

D. Urine culture and sensitivity are used to diagnose urinary tract infections and are not relevant to the monitoring of valproic acid therapy.

A. Take the medication 2 hr apart from calcium supplements. B. Take the medication on an empty stomach 30 min before breakfast. C. Take a double dose of the medication if the last dose was missed. D. Take this medication with a small sip of water.

Correct Answer is B

Explanation

A. Taking the medication 2 hours apart from calcium supplements is important, but the timing is not the primary instruction; the focus should be on the medication itself.

B. Levothyroxine should be taken on an empty stomach, ideally 30 to 60 minutes before breakfast, to enhance absorption.

C. Taking a double dose if a dose is missed can lead to toxicity; patients should be instructed to skip the missed dose and resume the regular schedule.

D. While taking the medication with a small sip of water is acceptable, it is not the most critical instruction for ensuring proper absorption and effectiveness of levothyroxine.

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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 caring for a school-age child who is taking valproic acid. The nurse should expect the provider to order which of the following diagnostic tests?

Correct Answer is B

Explanation

A nurse is providing teaching to a client who has a prescription for levothyroxine 25 mcg PO daily. Which of the following instructions should the nurse include in the teaching?

Correct Answer is B

Explanation

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