BSN 2 - B8

NUR 145 – LECTURE

SESSION 28

1. A 5-year-old girl Hannah is recently diagnosed with Kawasaki disease. Apart from the identified symptoms
of the disease. she may also likely develop which of the following?

A. Sepsis
B. Meningitis
C. Mitral Valve Disease
D. Aneurysm Formation
ANSWER: D
RATIO: Kawasaki disease is a rare childhood illness that affects the blood vessels. 20% to 25% of children can
develop aneurysm formation if not intervened.

2. Clay is an 8-year-old boy diagnosed with heart failure. Which of the following shows that he is strictly
following the directed therapeutic regimen?

A. Daily use of an antibiotics

B. Pulse rate less than 50 beats/minute
C. Normal weight for age
D. Elevation in red blood cell (RBC) count
ANSWER: C
RATIO: Kawasaki disease is a rare childhood illness that affects the blood vessels. 20% to 25% of children can
develop aneurysm formation if not intervened.

3. Which of the following instructions would Nurse Courtney include in a teaching plan that focuses on initial
prevention for Sheri who is diagnosed with rheumatic fever?

A. Treating streptococcal throat infections with an antibiotic

B. Giving penicillin to patients with rheumatic fever
C. Using corticosteroid to reduce inflammation
D. Providing an antibiotic before dental work
ANSWER: A
RATIO: Infections with an antibiotic is a key preventive measure

4. A child develops carditis from rheumatic fever. The nurse knows that the areas of the heart affected by
carditis are the:

A. coronary arteries.
B. heart muscle and the mitral valve.
C. aortic and pulmonic valves.
D. contractility of the ventricles.
ANSWER: A
RATIO: The tissues that cover the heart and heart valves are affected. The heart muscle may be involved and
the mitral valve is frequently involved.

5. Family discharge teaching has been effective when the parent of a toddler diagnosed with Kawasaki disease
(KD) states:

A. “The arthritis in her knees is permanent. She will need knee replacements.”
B. “I will give her diphenhydramine (Benadryl) for her peeling palms and soles of her feet.”
C. “I know she will be irritable for 2 months after her symptoms started.”
D. “I will continue with high doses of Tylenol for her inflammation.”
ANSWER: C
RATIO: Children can be irritable for 2 months after the symptoms of the disease start.

6. A 7-year-old child has been diagnosed with rheumatic fever. Which of the following physical findings would
the nurse expect to assess?

A. Vesicular rash over the face and chest

B. Yellow pigmentation of the sclerae of the eyes
C. Palpable mass in the upper right quadrant of the abdomen
D. Warm and swollen knees and elbows
ANSWER: D
RATIO: Polyarthritis, one of the major manifestations of RF, is manifested by warm, swollen, and painful
joints.

7. The nursing care plan for a toddler diagnosed with Kawasaki Disease (mucocutaneous lymph node
syndrome) should be based on the high risk for development of?

A. Pulmonary embolism
B. Coronary artery aneurysms
C. Vesicular rash
D. Chronic arthritis
ANSWER: A
RATIO: Kawasaki Disease involves all the small and medium-sized blood vessels. There is progressive
inflammation of the small vessels which progresses to the medium-sized muscular arteries, potentially
damaging the walls and leading to coronary artery aneurysms.

8. A child has been diagnosed with Kawasaki disease. Which of the following signs and symptoms would the
nurse expect to see?

A. Reddened and crusty eyes

B. Vertigo
C. Purpural rash over torso
D. Diarrhea
ANSWER: A
RATIO: Children with Kawasaki disease do have conjunctivitis. The palms and soles of children with Kawasaki
do desquamate. Kawasaki disease is diagnosed from a series of signs and symptoms, including prolonged fever,
conjunctivitis, strawberry tongue, rash on the palms and soles that desquamates, and cardiac changes.

9. The nursing care plan for a toddler diagnosed with Kawasaki Disease (mucocutaneous lymph node
syndrome) should be based on the high risk for development of?

A. Pulmonary embolism
B. Coronary artery aneurysms
C. Vesicular rash
D. Chronic arthritis
ANSWER: B
RATIO: Kawasaki Disease involves all the small and medium-sized blood vessels. There is progressive
inflammation of the small vessels which progresses to the medium-sized muscular arteries, potentially
damaging the walls and leading to coronary artery aneurysms.

10. Aspirin has been ordered for the child with rheumatic fever (RF) in order to:

A. Keep the patent ductus arteriosus (PDA) open.

B. Reduce joint inflammation.
C. Decrease swelling of strawberry tongue.
D. Treat ventricular hypertrophy of endocarditis.
ANSWER: B
RATIO: Joint inflammation is experienced in RF; aspirin therapy helps with inflammation and pain.