After completing the physical examination on a child, the nurse ...

[lilldybug07]

After completing the physical examination on a child, the nurse suspects Kawasaki disease based on evidence of which of the following?
 
  A) Acne or hirsutism
  B) Dry, fissured lips and strawberry tongue
  C) Malar rash and facial lesions
  D) Caf-au-lait spots and dermal tumors

Question 2

The nurse frequently assesses the respiratory status of a preterm newborn based on the understanding that the newborn is at increased risk for respiratory distress syndrome because of which of the following?
 
  A) Inability to clear fluids
  B) Immature respiratory control center
  C) Deficiency of surfactant
  D) Smaller respiratory passages

[popopong]

Answer to Question 1

B
Response:
Dry fissured lips and a strawberry tongue are common findings with Kawasaki disease. Acne, hirsutism, and striae are associated with anabolic steroid use. Malar rash and discoid facial lesions are associated with lupus. Caf-au-lait spots and dermal tumors are associated with neurofibromatosis.

Answer to Question 2

C
Response:
A preterm newborn is at increased risk for respiratory distress syndrome (RDS) because of a surfactant deficiency. Surfactant helps to keep the alveoli open and maintain lung expansion. With a deficiency, the alveoli collapse, predisposing the newborn to RDS. An inability to clear fluids can lead to transient tachypnea. Immature respiratory control centers lead to an increased risk for apnea. Smaller respiratory passages led to an increased risk for obstruction.