The nurse is caring for a child with Kawasaki disease (KD). A student nurse on the unit asks if there are medications to treat this disease. The nurse's response to the student nurse is:
Immunoglobulin E and heparin
Immunoglobulin G and ACE inhibitors
Immunoglobulin E and ibuprofen (Motrin)
Immunoglobulin G and aspirin
The Correct Answer is D
A. Immunoglobulin E is involved in allergic reactions and is not used in the treatment of Kawasaki disease. Heparin is an anticoagulant and not typically indicated in KD treatment.
B. Immunoglobulin G is used in KD, but ACE inhibitors are not part of the standard treatment regimen for this condition.
C. Immunoglobulin E is incorrect, and while ibuprofen is an NSAID, aspirin is preferred in Kawasaki disease due to its antiplatelet and anti-inflammatory properties.
D. The standard treatment for Kawasaki disease includes intravenous immunoglobulin G (IVIG) and aspirin. IVIG helps reduce inflammation and the risk of coronary artery aneurysms, while aspirin reduces fever, inflammation, and prevents blood clots.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Step 1: Use the Holliday-Segar formula for maintenance fluids:
For the first 10 kg: 100 mL/kg/day
For the next 10 kg: 50 mL/kg/day
For any additional kg over 20 kg: 20 mL/kg/day
Step 2: Calculate for 36 kg
First 10 kg → 10 × 100 = 1,000 mL
Next 10 kg → 10 × 50 = 500 mL
Remaining 16 kg → 16 × 20 = 320 mL
Total = 1000 + 500 + 320 = 1,820 mL/day
Step 3: Convert to hourly rate
1820 mL/day ÷ 24 hr = 75.8 mL/hr
= 76 mL/hr (rounded off to the nearest whole number.
Correct Answer is D
Explanation
A. Detachment and rejection are psychosocial interpretations that require deeper behavioral assessment and are not appropriate assumptions based on physical presentation alone.
B. Maternal deprivation refers to a lack of emotional bonding or nurturing, which is not evidenced here and is not the cause of the floppiness described.
C. While autism can co-occur with Down syndrome, the description given is more characteristic of hypotonia, not autism-specific behavior.
D. Infants with Down syndrome commonly have generalized hypotonia (low muscle tone), which causes them to feel “floppy” or like a rag doll when held. This is a well-known physical trait of the condition and not a sign of emotional or developmental issues at this stage.
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