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 which problem?

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Question 1 of 5

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 which problem?

Correct Answer: D

Rationale: Coronary artery aneurysms are the high-risk complication in Kawasaki disease. Vasculitis can weaken coronary arteries, per pediatric cardiology. Plaque , embolism , and occlusions are less specific. D drives monitoring and treatment priorities.

Question 2 of 5

The nurse is caring for a depressed client with a new prescription for a selective serotonin reuptake inhibitor (SSRI) antidepressant. In reviewing the admission history and physical, which of the following should prompt questions about the safety of this medication?

Correct Answer: B

Rationale: Prescribed MAO inhibitor use prompts safety questions with SSRIs. Combining them risks serotonin syndrome, per psychopharmacology. Obesity , vascular disease , and antacids don't contraindicate. B requires immediate clarification.

Question 3 of 5

Which type of traction can the nurse expect to be used on a 7 year-old with a fractured femur and extensive skin damage?

Correct Answer: A

Rationale: Ninety-ninety traction is expected for a 7-year-old with a fractured femur and skin damage. It aligns the femur while minimizing skin pressure, per orthopedic nursing. Buck's and Russell are less suitable, Bryant is for younger children. A fits the case.

Question 4 of 5

A client is diagnosed with a spontaneous pneumothorax necessitating the insertion of a chest tube. What is the best explanation for the nurse to provide this client?

Correct Answer: B

Rationale: The tube will remove excess air from your chest' is the best explanation for spontaneous pneumothorax. A chest tube evacuates air, re-expanding the lung, per respiratory nursing. Fluid isn't primary, control or sealing misrepresent function. B is accurate.

Question 5 of 5

Which of these nursing diagnoses, appropriate for elderly clients, would indicate the client is at greatest risk for falls?

Correct Answer: A

Rationale: Sensory perceptual alterations related to decreased vision indicates the greatest fall risk in the elderly. Vision loss impairs navigation, per gerontological nursing. Gas exchange and nocturia contribute less directly. A targets the primary hazard.

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