A nurse is caring for a child admitted to the hospital with Kawasaki disease. Which cardiac complication of Kawasaki disease should the nurse monitor for?
a. Cardiac valvular disease
b. Cardiomyopathy
c. Coronary aneurysm
d. Rheumatic fever
C
Coronary aneurysm formation begins early in the second phase of Kawasaki syndrome. Coronary artery aneurysms are seen in 20% of children with untreated Kawasaki disease. Cardiac valvular disease can occur in rheumatic fever. Cardiomyopathies are diseases of the heart muscle, which can occur as a result of congenital heart disease, coronary artery disease, or other systemic disease. Rheumatic fever is not a complication of Kawasaki syndrome.
You might also like to view...
Advise the patient not to scratch down inside the cast with anything, as this can cause infection to occur
Indicate whether the statement is true or false.
A majority of pediatric health care occurs in community-based settings. Community-based health care settings include: Standard Text: Select all that apply
1. The local community hospital. 2. Outpatient surgical facilities. 3. The public health clinic. 4. An inpatient mental health center. 5. A pediatrician's office
The client reports to the nurse that he is feeling suddenly short of breath. The nurse displays critical thinking with which of the following responses?
1. "I'll apply some oxygen to help you breathe better, and notify your doctor." 2. "When did this feeling start? Are you having any other symptoms?" 3. "I'll elevate the head of the bed and apply oxygen." 4. "I will notify the doctor immediately."
The LPN/LVN assists with admitting a client with severe gastric pain by doing which of the following? Select all that apply. Standard Text: Select all that apply
1. Measuring vital signs 2. Determining the client's current pain level 3. Performing a head-to-toe complete admission assessment 4. Asking the client about allergies 5. Administering analgesics as ordered