When caring for a child with Kawasaki disease, the nurse should understand that principle of care?

The child’s fever is usually responsive to antibiotics within 48 hours

The principal area of involvement is the joints

Aspirin is contraindicated

Therapeutic management includes the administration of gamma globulin and aspirin.

Answer and Explanation

The Correct Answer is D

Therapeutic management includes the administration of gamma globulin and aspirin. This is because Kawasaki disease causes inflammation in the walls of small to medium-sized blood vessels that carry blood throughout the body and can lead to complications such as coronary artery aneurysms. Gamma globulin is an intravenous immunoglobulin that can reduce the risk of these complications, and aspirin can help lower fever and inflammation.

Choice A is wrong because the child’s fever is usually not responsive to antibiotics within 48 hours. Kawasaki disease is not caused by a bacterial infection, so antibiotics are not effective.

Choice B is wrong because the principal area of involvement is not the joints. Kawasaki disease affects mainly the blood vessels, but it can also cause swelling in glands (lymph nodes) and mucous membranes inside the mouth, nose, eyes and throat. Joint pain or swelling may occur, but it is not the main feature of the disease.

Choice C is wrong because aspirin is not contraindicated. Aspirin is part of the standard treatment for Kawasaki disease, along with gamma globulin. However, aspirin should be used with caution and under medical supervision, as it can cause Reye’s syndrome in children with viral infections.

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Correct Answer is D

Explanation

This is because toddlers continue to have the short, straight internal ear canal of infants.

The lymphoid tissue of the tonsils and adenoids continues to be relatively large. These two anatomic conditions combine to predispose the toddler to frequent infections.

Choice A is wrong because respirations are abdominal. This does not affect the susceptibility to infection.

Choice B is wrong because pulse and respiratory rates are slower than those in infancy. This also does not affect the susceptibility to infection.

Choice C is wrong because defense mechanisms are less efficient than those during

infancy. This is not true, as the defense mechanisms are more efficient compared with those of infancy.

A. Pitocin. B. Methergine. C. Terbutaline. D. Hemabate. E. Magnesium sulfate.

Correct Answer is ["A","B"]

Explanation

Pitocin and Methergine are both medications used to manage postpartum hemorrhage (PPH) by causing the uterus to contract and reduce bleeding. Pitocin is the most effective and preferred medication for PPH prevention and treatment.

Choice C is wrong because Terbutaline is a medication that relaxes the uterus and is used to stop preterm labor, not PPH.

Choice D is wrong because Hemabate is a brand name for carboprost, which is a prostaglandin that can be used for PPH, but it has more side effects and contraindications than Pitocin or Methergine.

Choice E is wrong because Magnesium sulfate is a medication that prevents seizures in women with preeclampsia or eclampsia, not PPH.

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When caring for a child with Kawasaki disease, the nurse should understand that principle of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which factor is most important in predisposing toddlers to frequent infections such as otitis media, tonsillitis, and upper respiratory tract infections?

Correct Answer is D

Explanation

Medications used to manage postpartum hemorrhage (PPH) include (Select all that apply.):.

Correct Answer is ["A","B"]

Explanation

Which infant would be more likely to have Rh incompatibility?

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