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 C
Explanation
A. Digoxin does not need to be given with food, and food may actually alter its absorption. It's best given at the same time each day, either with or without food, depending on the provider's recommendation.
B. The heart rate threshold for holding digoxin in children is generally less than 90–110 beats/min in infants and less than 70 in older children, not 60 bpm, which is the adult guideline.
C. Nausea and vomiting are early signs of digoxin toxicity. Parents should be taught to observe for these symptoms and report them immediately.
D. If a child vomits after taking digoxin, the dose should not be repeated, as it is impossible to know how much was absorbed, and repeating could cause toxicity.
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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