MCN 374: Preparedness baseline Exam
knowledge Questions with Expertly written
solution 2024/2025
Tx Kawasaki disease - correct answer IV Immunoglobulin
and high dose aspirin
MOA: IVIG (IV immunoglobin) - correct answer reduce
duration of fever & incidence of coronary artery abnormalities
-given first 10days of illness
MOA: Aspirin - correct answer -Initial high dose (80-
100mg/kg/day): stop fever and inflammation
-prophylactic doses (3-5mg/kg/day): continued antiplatelet
Nursing Management kawasaki disease - correct answer -
assess pain
-provide comfort measures
-assess VS Q2-4hrs
-assess for desquamation
-Monitor I&O
-maintain hydration
-Assess CV Q2-4hrs
-provide passive ROM to maintain joint mobility
,-Encourage parental involvement
-Educate parents on home medications
Medications commonly used for children with heart disease -
correct answer -IVIG: Kawasaki disease
-Digoxin: CHF
-ACE inhibitors: CHF
-Aspirin: Kawasaki disease
-NSAIDS: Kawasaki/fever
-Lasix: CHF
Potential nursing diagnoses for CVD - correct answer -
alteration in comfort
-imbalanced nutrition: less than body requirements
-alteration in skin integrity
-risk for impaired tissue
components of hematologic function assessment - correct
answer -CBC
-Hx & PA
-Child's energy/activity level
-growth patterns
How to WBC counts differ with age - correct answer Birth-
24hrs: 34,000
1-3yrs: 6,000-17,500
, adult: 5000-10,000
Sickle cell anemia - correct answer a genetic disorder that
causes abnormal hemoglobin, resulting in some red blood cells
assuming an abnormal sickle shape
Clinical manifestations of sickle cell anemia - correct answer
jaundice, pain, variable organ involvement
Nursing management: sickle cell anemia - correct answer -
Monitor the child's growth and watch for failure to thrive
-Carefully do a multisystem assessment
-Assess and treat pain
-Observe for the presence of inflammation or possible infection
-Carefully monitor for signs of shock
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