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

Answer and Explanation

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.

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Correct Answer is B

Explanation

Convert weight to kilograms:
30 lb ÷ 2.2 = 13.64 kg

Calculate dose in mg:
20 mg/kg × 13.64 kg = 272.8 mg per dose

Determine volume to administer:
If 125 mg = 5 mL, then:
(272.8 mg × 5 mL) ÷ 125 mg = 10.912 mL

Round to the nearest tenth:
10.912 mL ≈ 10.9 mL

A. Digoxin must be administered with food. B. Only give if the child's heart rate is less than 60 beats/minute C. Observe for nausea and vomiting D. Re-dose the child if the child vomits the first dose.

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.

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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:

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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