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    ATI LPN Comprehensive Predictor 2023 Proctored Exam

    Exhibits Complete the diagram by dragging from the choices below to specify what condition the client is likely experiencing, 2 actions the nurse should take to address the condition, and 2 parameters the nurse should monitor to assess the client’s progress.

    Explanation & Rationale

    Potential Condition: Kawasaki disease: The child presents with prolonged fever, mucocutaneous changes (cracked lips, red tongue), extremity changes (edema, peeling skin), cervical lymphadenopathy, and elevated inflammatory markers (WBC, ESR, CRP, and platelets), all of which are consistent with Kawasaki disease. Actions to Take Administer IVIG: IVIG is the primary treatment to reduce inflammation and prevent coronary artery aneurysms. Administer high-dose aspirin: Used in the acute phase to reduce inflammation and fever and in the subacute phase to prevent clot formation. Parameters to Monitor Heart rhythm: Kawasaki disease can cause myocarditis and coronary artery aneurysms, leading to arrhythmias. Chest discomfort: A sign of coronary artery complications, including aneurysms or ischemia. Rationale for Incorrect Diagnoses: Bacterial endocarditis: Does not cause peeling skin or bright red tongue. Fever would be accompanied by murmurs and a history of heart defects. Nephrotic syndrome: Characterized by severe proteinuria, edema, and hypoalbuminemia, which are absent here. Acute post-streptococcal glomerulonephritis: Would present with recent strep infection, hematuria, hypertension, and periorbital edema, which are not mentioned.

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