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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
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.
Correct Answer is B
Explanation
A. Croup is a viral infection that typically presents with a barking cough and stridor, rather than difficulty swallowing and excessive drooling.
B. Epiglottitis is a life-threatening condition characterized by sudden onset of fever, drooling, difficulty swallowing, and difficulty speaking (dysphonia). It is a medical emergency and often caused by Haemophilus influenzae type B.
C. Bronchiolitis is usually caused by respiratory syncytial virus (RSV) and presents with wheezing, cough, and respiratory distress but not typically with drooling or difficulty swallowing.
D. Laryngotracheobronchitis (another name for croup) also presents with a barking cough and stridor but does not cause difficulty swallowing or drooling.
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