A nurse is reinforcing education to a family with a child who has Kawasaki disease. Which of the following statements made by the caregiver indicates an understanding of the education provided?

"Kawasaki disease is an abnormal immune response that only affects the liver."

"Kawasaki disease is an abnormal immune response that causes injury to the body's muscles."

"Kawasaki disease is an abnormal immune response in which the body attacks the skin only."

"Kawasaki disease is an abnormal immune system response that can weaken the coronary arteries."

Answer and Explanation

The Correct Answer is D

A. "Kawasaki disease is an abnormal immune response that only affects the liver." This is incorrect. Kawasaki disease primarily affects the blood vessels, especially the coronary arteries, not just the liver. While liver inflammation can occur, it is not the main concern.

B. "Kawasaki disease is an abnormal immune response that causes injury to the body's muscles." This is incorrect. Kawasaki disease is a vasculitis (inflammation of blood vessels), not a muscle disorder. It mainly affects the heart and blood vessels, potentially leading to aneurysms and long-term cardiac complications.

C. "Kawasaki disease is an abnormal immune response in which the body attacks the skin only." This is incorrect. While skin changes (such as a rash, peeling skin, and red palms/soles) are common symptoms, the primary concern is inflammation of the coronary arteries, which can lead to serious heart complications.

D. "Kawasaki disease is an abnormal immune system response that can weaken the coronary arteries." This is correct. Kawasaki disease triggers inflammation in medium-sized arteries, particularly the coronary arteries, which supply blood to the heart. If untreated, this can lead to coronary artery aneurysms, myocardial infarction, or long-term heart disease.

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Correct Answer is A

Explanation

A. The child is able to answer simple questions. By the age of 3, children develop basic language skills, allowing them to respond to simple questions. Their vocabulary expands significantly, and they begin to form short sentences, making communication more interactive.

B. The child engages in conversation. While 3-year-olds can communicate basic needs and thoughts, true conversational skills, including back-and-forth exchanges with complex sentences, typically develop later, around age 4 to 5.

C. The child knows to stay away from danger. At 3 years old, children have limited understanding of danger and often require close supervision to ensure safety. Their impulse control is still developing, making them prone to risky behaviors.

D. The child adheres to rules. While toddlers begin to understand rules, they may not consistently follow them. At this stage, they still need reminders and reinforcement, as their self-regulation skills are not yet fully developed.

A. Intrauterine device B. Depot medroxyprogesterone acetate injection C. Contraceptive patches D. Combined oral contraceptives

Correct Answer is B

Explanation

A. Intrauterine device (IUD). While IUDs are highly effective, they require a pelvic exam for insertion and periodic monitoring, which may be challenging for an adolescent with motor difficulties and decreased memory. Additionally, IUDs do not protect against sexually transmitted infections (STIs).

B. Depot medroxyprogesterone acetate injection. This is the best option because the injection is given every 3 months, making it easier for an adolescent with memory and motor impairments to maintain consistent contraceptive use. It also does not require daily adherence like oral contraceptives.

C. Contraceptive patches. The patch requires weekly changes, which may be difficult for someone with decreased memory and coordination issues, leading to potential gaps in contraceptive coverage.

D. Combined oral contraceptives. Oral contraceptives require daily adherence, which may not be reliable for an adolescent with memory impairments. Missing doses can reduce effectiveness, making them a less suitable option.

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A nurse is reinforcing education to a family with a child who has Kawasaki disease. Which of the following statements made by the caregiver indicates an understanding of the education provided?

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Correct Answer is B

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