The nurse is caring for a child diagnosed with Kawasaki disease. Keeping the pathophysiology in mind, the nurse carefully monitors the child for which complication?

Myocardial infarction

Pulmonary congestion

Roth spots

Arthralgia

Answer and Explanation

The Correct Answer is A

A. Kawasaki disease can lead to coronary artery aneurysms, which can increase the risk of myocardial infarction (MI) due to impaired blood flow.

B. Pulmonary congestion is not typically a complication of Kawasaki disease, as it primarily affects the cardiovascular system.

C. Roth spots are retinal findings associated with endocarditis, not Kawasaki disease.

D. While arthralgia (joint pain) is a symptom, it is not the most concerning complication in Kawasaki disease. The priority concern is cardiovascular complications.

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Correct Answer is A

Explanation

A. The child is showing signs of severe respiratory distress, likely due to epiglottitis. The priority is to keep the child calm to avoid further airway obstruction and to prepare for emergency airway management.

B. While assessing the throat for epiglottitis is important, direct visualization of the throat can cause spasm and worsen airway obstruction.

C. The knee-to-chest position is typically used in cases of respiratory distress in infants (e.g., with RSV), but not in this case.

D. While IV access and fluids may be necessary, the immediate priority is securing the airway.

A. Itching and tenderness when manipulating the affected ear lobe B. Fullness in the ear and a clogged sensation without other systemic findings C. Edema and erythema of the external canal only D. Pulling on the affected ear, acute onset of fever and otalgia

Correct Answer is D

Explanation

A. Itching and tenderness when manipulating the affected ear lobe is more characteristic of an external ear infection (otitis externa) rather than acute otitis media.

B. Fullness in the ear and a clogged sensation might be experienced in acute otitis media, but it usually occurs with systemic signs of infection such as fever and pain.

C. Edema and erythema of the external canal only would indicate an external ear infection (otitis externa), not otitis media, which affects the middle ear.

D. Pulling on the affected ear, acute onset of fever, and otalgia (ear pain) are classic signs of acute otitis media. Children often pull or tug at the affected ear in response to pain.

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The nurse is caring for a child diagnosed with Kawasaki disease. Keeping the pathophysiology in mind, the nurse carefully monitors the child for which complication?

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A nurse is caring for a child who has acute otitis media. Which of the following classic assessment findings should the nurse expect?

Correct Answer is D

Explanation

After teaching a class about the hemodynamic characteristics of congenital heart disease, the instructor determines that the teaching has been successful when the class identifies which defect as an example of a disorder involving increased pulmonary blood flow?

In which congenital heart defect would the nurse need to take upper and lower extremity blood pressures?

Tetralogy of Fallot (TOF) involves which defects? Select all that apply.

The nurse is providing home care instructions to the parent of a 9-year-old child diagnosed with bacterial conjunctivitis. Topical antimicrobial therapy is prescribed for the child. Which statement by the parent indicates that the teaching has been effective?

The nurse is assessing a client diagnosed with ventricular septal defect (VSD), the nurse is aware that many infants with these conditions also receive a diagnosis of which of the following?

The nurse is assessing a child with epiglottitis. Which of the following would be an expected finding?

A 4-year-old child is diagnosed with otitis media. The parent asks the nurse about the causes of this illness. Which risk factors would the nurse include in response to this parent? Select all that apply.