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✅ Kawasaki Disease: Acute, febrile, vasculitis affecting medium-sized arteries (especially coronary arteries).❇️ Most co...
02/04/2025

✅ Kawasaki Disease: Acute, febrile, vasculitis affecting medium-sized arteries (especially coronary arteries).

❇️ Most common in children < 5 years, especially Asian descent (Japanese children).

🔹 Pathophysiology
✔️ Immune-mediated vasculitis affecting medium-sized vessels.
✔️ Inflammation of coronary arteries → Aneurysm formation & thrombosis risk.

🔹 Clinical Features (CRASH and Burn)
C - Conjunctivitis (Bilateral, non-purulent)

R - Rash (Polymorphous, often desquamating)

A - Adenopathy (Cervical lymphadenopathy, usually unilateral)

S - Strawberry tongue (Oral mucositis, red lips, pharyngeal erythema)

H - Hands and feet changes (Edema, erythema, desquamation)

Burn - Fever (> 5 days, unresponsive to antipyretics)

🔹 Diagnosis
✔️ Clinical diagnosis: Fever for ≥5 days + ≥4 of the CRASH symptoms.
✔️ Lab Findings:

↑ ESR/CRP, leukocytosis, thrombocytosis (late stage).

Sterile pyuria (increased WBCs in urine).

✔️ Echocardiography (to assess coronary artery involvement).

🔹 Treatment
✔️ IVIG (Intravenous immunoglobulin) (first-line; within 10 days of illness).
✔️ Aspirin (high-dose for acute inflammation, then low-dose for antiplatelet effect).
✔️ Corticosteroids (refractory cases).

🔹 Complications
✔️ Coronary artery aneurysms (risk highest during subacute phase).
✔️ Myocardial infarction (due to thrombosis or stenosis).
✔️ Heart failure.

01/04/2025

The nurse views the cardiac monitors for clients on the unit and notes the presence of elevated T waves. Which client is likely to have this appear on ECG? SATA.

1. A client with Cushing syndrome who has hypertension and a pathologic fracture of the spine.

2. A client with alcoholic liver cirrhosis who has severe ascites and shallow respirations.

3. A client who was in a house fire and suffered extensive burns on the arms, trunk and face.

4. A client who reports severe vomiting for 3 days and shows symptoms of mild dehydration.

5. A client who has been on prednisone for 6 months.

01/04/2025

12. A nurse is providing instructions to a client in the first trimester of pregnancy regarding measures to assist in reducing breast tenderness. The nurse tells the client to:

A. Avoid wearing a bra.
B. Wash the ni***es and ar**la area daily with soap and massage the breasts with lotion.
C. Wear tight-fitting blouses or dresses to provide support.
D. Wash the breasts with warm water and keep them dry.

04/02/2025

The nurse is educating an adolescent client about the innate and adaptive immune systems to help them gain an understanding of the disease process.
> Which of the following mechanisms is considered a part of the adaptive immune system?
Select one:
• Skin
• Natural killer cells
• Oral mucosa
• T memory cells

04/02/2025

A client with diabetes mellitus is being discharged home.Which of the following guidelines related to sickness management should be given to the client?
Select all that apply:
• 1. "Take your medications as prescribed and monitor your blood glucose every hour"
• 2. "Consume a regular diet and monitor your blood sugar levels every 3 hours"
口 3.
"Notify the health care provider if your illness lasts longer than 24 hours"
• 4. "Notify the health care provider if the blood glucose increases above 150 mg/dL (8.3 mmol/L)"
• 5. "It is appropriate to have soft foods 6-8 times per day if a regular diet cannot be tolerated

09/12/2024

Which of the following nursing instructions are written incorrectly? SATA.

1. Change dressing every shift.

2. Elevate the head of bed 45 degrees after meals.

3. Apply heating pad during the day.

4. Perform neuro checks.

5. Ambulate down the hall 6 feet BID.

07/12/2024

The primary HCP has prescribed NGT insertion to the client. In what order should the nurse perform the procedure? Place actions in the correct order.

1. Secure NGT.

2. Advance NGT upward and backward.

3. Rotate catheter and pass the tube into nasopharynx.

4. Have client swallow ice as NGT advances into stomach.

5. Insert NGT into unobstructed naris.

6. Measure distal NGT from nose tip to earlobe to xiphoid process.

7. Lubricate 2-3 inches of distal NGT.

8. Elevate HOB to Fowler's position.

antibiotic’s cards easy to remember and use
07/12/2024

antibiotic’s cards easy to remember and use

07/12/2024

Which of the following patients should be seen first?

1. A patient diagnosed with bipolar disorder who gives his expensive wristwatch to the nurse.

2. A patient diagnosed with pneumonia who has crackles upon auscultation.

3. A patient with OCD who repeatedly wanders in the hallway.

4. A patient diagnosed with depression who just underwent electroconvulsive therapy and has an o2 sat of 95%.

25/09/2024

Which of the following clients would most benefit from parenteral nutrition?
1. A client with neck cancer.
2. A client with a CVA.
3. A client with severe pancreatitis.
4. An intubated client.

25/07/2024

Nursing failures can be tough, but remember they're opportunities for growth. Reflect on what went wrong, learn from it, and focus on your strengths. Seek support from colleagues, mentors, or friends, and remember why you chose nursing in the first place. Stay positive by setting small achievable goals and celebrating your successes along the way

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