A three-year-old is admitted to the pediatric medical unit with acute Kawasaki disease. What signs and symptoms are you most likely to note as you do your intake assessment?

Murmur, tachycardia, low erythrocyte sedimentation rate

Abdominal pain, vomiting, restlessness

Coarse breath sounds, abnormal ECG, and joint pain

Fever, "strawberry tongue" and peeling palms and soles

Answer and Explanation

The Correct Answer is D

Choice A reason: Murmur, tachycardia, and low erythrocyte sedimentation rate are not specific signs of Kawasaki disease. They may indicate other cardiac or inflammatory conditions.

Choice B reason: Abdominal pain, vomiting, and restlessness are not typical signs of Kawasaki disease. They may suggest other gastrointestinal or neurological problems.

Choice C reason: Coarse breath sounds, abnormal ECG, and joint pain are not common signs of Kawasaki disease. They may indicate other respiratory, cardiac, or rheumatic disorders.

Choice D reason: This is the correct choice. Fever, "strawberry tongue" and peeling palms and soles are characteristic signs of Kawasaki disease, which is a rare but serious condition that causes inflammation of the blood vessels. Other signs include red eyes, swollen lips, rash, and swollen lymph nodes.

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Correct Answer is B

Explanation

Choice A reason: This is not a good choice. Adult heart disease can cause volume overload, but so can pediatric heart disease. Volume overload is a condition where the heart has to pump more blood than normal, which can lead to heart failure and pulmonary edema. Volume overload can be caused by various factors, such as valvular defects, hypertension, or anemia.

Choice B reason: This is the correct choice. Adult heart disease is usually acquired, meaning that it develops over time due to factors such as aging, lifestyle, or infection. Pediatric heart disease is usually congenital, meaning that it is present at birth due to genetic or environmental factors that affect the development of the heart.

Choice C reason: This is not a good choice. Heart failure can occur in both adult and pediatric heart disease. Heart failure is a condition where the heart cannot pump enough blood to meet the body's needs, which can lead to symptoms such as fatigue, shortness of breath, and edema. Heart failure can be caused by various factors, such as coronary artery disease, cardiomyopathy, or arrhythmias.

Choice D reason: This is not a good choice. Digoxin is a drug that can be used for both adults and children with heart disease. Digoxin is a cardiac glycoside that increases the force and efficiency of the heart contractions, slows down the heart rate, and improves the symptoms of heart failure. Digoxin can be used for conditions such as atrial fibrillation, heart failure, or congenital heart defects. However, digoxin has a narrow therapeutic range and requires careful monitoring of the blood levels and the patient's response.

A. Chromosomal mutation is the cause. B. Slow feeding will be necessary for a few months. C. Dietary restrictions will be required throughout childhood. D. Surgery will be necessary.

Correct Answer is D

Explanation

Choice A reason: Chromosomal mutation is not the cause of hypertrophic pyloric stenosis. The exact cause is unknown, but it may be related to genetic, environmental, or hormonal factors.

Choice B reason: Slow feeding will not be sufficient to manage hypertrophic pyloric stenosis. The infant will have persistent vomiting, dehydration, and weight loss due to the obstruction of the pylorus.

Choice C reason: Dietary restrictions will not be effective for hypertrophic pyloric stenosis. The infant will not be able to tolerate any oral intake until the pylorus is surgically corrected.

Choice D reason: Surgery will be necessary to treat hypertrophic pyloric stenosis. The surgery is called pyloromyotomy, which involves cutting the thickened muscle of the pylorus to allow the stomach to empty into the duodenum.

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A three-year-old is admitted to the pediatric medical unit with acute Kawasaki disease. What signs and symptoms are you most likely to note as you do your intake assessment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

One difference between adult and pediatric heart disease is

Correct Answer is B

Explanation

The mother of an infant with hypertrophic pyloric stenosis asks the nurse many questions about the problem. When answering these questions, the nurse should convey the idea that:

Correct Answer is D

Explanation

Which statement regarding atopic dermatitis (eczema) in the infant is most accurate?

In providing anticipatory guidance to the mother of a two-month old breast-fed infant, which of the following should the nurse include:

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