AACN CCRN-Pediatric Dumps Questions Answers

Kawasaki disease is an acute vasculitis that primarily affects children under 5 and presents with classic signs:fever, rash, conjunctivitis, strawberry tongue, and extremity changes. It may also causecoronary artery aneurysmsandconduction abnormalities, such as PR prolongation.

“Kawasaki disease presents with mucocutaneous inflammation, and cardiac complications may include myocarditis and conduction delays, such as first-degree AV block.”

(Referenced from CCRN Pediatric – Direct Care: Cardiovascular, Inflammatory Heart Disease)

Thearterial switch procedureinvolves reimplantation of thecoronary arteries. The most serious complication iskinking or malposition of the coronaries, leading tomyocardial ischemia, which can be fatal if not corrected promptly.

“Coronary artery compromise is the most critical postoperative complication following arterial switch, presenting with ischemia or infarction. Kinking or torsion during reimplantation is a known risk.”

(Referenced from CCRN Pediatric – Direct Care: Cardiovascular, Congenital Heart Surgery Complications)

The elevated WBC count, fever, rising airway pressures, and increased secretions are consistent with adeveloping ventilator-associated pneumonia (VAP). Asputum cultureis needed to identify the infectious agent and guide antibiotic therapy.

“Signs of VAP include increased airway secretions, elevated temperature, and rising ventilator pressures. Diagnostic workup includes obtaining sputum culture to guide treatment.”

(Referenced from CCRN Pediatric – Direct Care: Pulmonary, Ventilator Complications and Infection)