The nurse is caring for a child with Kawasaki disease in the acute phase. What clinical manifestations should the nurse expect to observe? (Select all that apply.)

a. Osler nodes
b. Cervical lymphadenopathy
c. Strawberry tongue
d. Chorea
e. Erythematous palms
f. Polyarthritis


ANS: B, C, E
Clinical manifestations of Kawasaki disease in the acute phase include cervical lymphadenopathy, a strawberry tongue, and erythematous palms. Osler nodes are a clinical manifestation of endocarditis. Chorea and polyarthritis are seen in rheumatic fever.

Nursing

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An adult female inpatient client with a diagnosis of paranoid schizophrenia will not take her medications from the nurse. She states, "I know you are poisoning that medicine." Which nursing action is most appropriate?

a. Promise the client that the staff would not do anything to harm her. b. Let the client watch the medication preparation process. c. Administer medications to her in unit dose packages so that she can open the packages herself. d. Allow the client to retrieve the medications out of the medication cart with supervision.

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Which actions help prevent infection when placing ointments into a patient's eye? (select all that apply)

a. Having the patient remove contact lenses. b. Avoiding touching the tip of the applicator. c. Using separate drug tubes for the right and the left eye. d. Applying pressure over the punctum for 1 minute after instilling the drug. e. Waiting 10 minutes between the administrations of more than one type of eye drug. f. Squeezing out and discarding a small amount of ointment before instilling the drug.

Nursing

A woman who is 4 weeks pregnant is worried that a medication she took until 3 weeks ago may cause birth defects. The nurse will tell her that

a. drugs taken in the first week of pregnancy can cause CNS defects. b. medications have increased teratogenicity during the first week of pregnancy. c. she should have an ultrasound immediately. d. teratogenic effects are rare in the first 2 weeks of pregnancy.

Nursing

Which of the following would a community health nurse identify as a community of common interest?

A) The global community B) Small rural town in a northern state C) National professional organization D) Counties addressing water pollution

Nursing