A child is admitted to the hospital unit with a diagnosis of ...

[awywial]

A child is admitted to the hospital unit with a diagnosis of Kawasaki disease. The physician writes the following orders. Which order would the nurse question?
 
  1. Contact isolation
  2. Oral aspirin (dose appropriate for weight) every eight hours
  3. Echocardiogram
  4. Vital signs every four hours

Question 2

The nurse is taking care of a child with a life-threatening condition. The child's condition is stabilized, and survival seems likely. What reaction would the nurse expect to witness from the parents?
 
  1. Shock and disbelief
   2. Anger and guilt
   3. Depression and loss
   4. Anticipatory waiting

[alexanderhamilton]

Answer to Question 1

1
Rationale 1: The child is not contagious so contact isolation is not appropriate.
Rationale 2: Aspirin is used as an anti-inflammatory and is prescribed around the clock. This is appropriate.
Rationale 3: This exam will be used as a baseline to compare against as the child recovers, to assist in monitoring for cardiac lesions.
Rationale 4: The child will need close monitoring during the early period of the disease.
Global

Answer to Question 2

4
Rationale:
1. The universal initial reaction of parents to a child's life-threatening illness is shock and disbelief.
2. Anger and guilt surface as parents become more aware of their child's illness or injury.
3. As the shock associated with the child's life-threatening condition slowly recedes, new stressors emerge.
4. Once the child's condition is stabilized, and survival seems likely, parents often move into a period of anticipatory waiting.