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 D

Explanation

A. Kawasaki disease typically presents with fever, rash, and conjunctivitis, not a machine-like murmur or the other cardiovascular findings.

B. Tricuspid Atresia involves a defect in the tricuspid valve and presents with cyanosis and poor circulation, but not a machine-like murmur.

C. Tetralogy of Fallot involves a murmur due to pulmonary stenosis and VSD but would not produce a "machine-like" murmur, which is characteristic of PDA.

D. Patent Ductus Arteriosus (PDA) results in a continuous "machine-like" murmur due to abnormal blood flow between the aorta and pulmonary artery, along with findings of pulmonary congestion and right ventricular hypertrophy.

A. Turner syndrome B. Trisomy 18 C. Spina bifida D. Trisomy 21

Correct Answer is B

Explanation

A. Turner syndrome is a chromosomal disorder affecting females and does not typically coincide with VSD.

B. Trisomy 18 (also called Edwards syndrome) is a chromosomal disorder that often presents with congenital heart defects, including VSD.

C. Spina bifida is a neural tube defect and is not directly related to VSD.

D. Trisomy 21 (Down syndrome) may have congenital heart defects but is not specifically associated with VSD as commonly as trisomy 18.

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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

While assessing a newborn with respiratory distress, the nurse auscultates a machine-like heart murmur. Other findings are a widened pulse pressure. pulmonary congestion and right ventricular hypertrophy. The nurse suspects that the newborn has:

Correct Answer is D

Explanation

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?

Correct Answer is B

Explanation

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