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A nurse is assessing a 4-year-old child at a well-child visit. Which of the following
developmental milestones should the nurse expect to observe?
a. Identifies right from left hand
b. Uses a utensil to spread butter
c. Cuts a shape using scissors
d. Draws a stick figure with seven body parts
c. Cuts a shape using scissors
A- Identifying the right from left hand is an expected developmental milestone of a 6-
year-old child.
B- Using a utensil to spread butter is an expected developmental milestone of a 6-yearold child.
D- Drawing a stick figure with seven body parts is an expected developmental milestone
of a 5-year-old child.
A school nurse is preparing to administer atomoxetine 1.2 mg/kg/day PO to a schoolage child who weighs 75lb. Available is atomexetine 40 mg/capsule. How many
capsules should the nurse administer per day?
1
A nurse in the emergency department is assessing a toddler who has Kawasaki
disease. Which of the following findings should the nurse expect? (select all that
apply.)
a. Increased temperature
b. Gingival hyperplasia
c. Xerophthalmia
d. Bradycardia
e. Cervical lymphadenopathy
Answer- a,c,e
Increased temperature is correct. Kawasaki disease is an acute illness associated with a
fever lasting more than 4 days that is unresponsive to antipyretics or antibiotics.
Gingival hyperplasia is incorrect. Children who have Kawasaki disease develop a
strawberry tongue, cracked lips, and edema of the oral mucosa and pharynx. A child
who is receiving phenytoin therapy can develop gingival hyperplasia.
Xerophthalmia is correct. Ophthalmic manifestations of Kawasaki disease include
reddening of the conjunctiva and dryness of the eyes, or xerophthalmia.
Bradycardia is incorrect. Kawasaki disease is an infection that affects the vascular
system, including the heart. The nurse should expect the child to be tachycardic with a
gallop rhythm. Long term effects of Kawasaki disease include the development of
coronary artery aneurysms or myocardial infarction.
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