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INSTRUCTIONS: A Case of Multisystem Inflammatory Syndrome in Children Following SARS-CoV-2 Infection in a Rural Emergency Department

INSTRUCTIONS: A Case of Multisystem Inflammatory Syndrome in Children Following SARS-CoV-2... EARN NCPD CREDIT ONLINE Go to http://www.nursingcenter.com/CE/AENJ and receive a certificate within minutes. INSTRUCTIONS A Case of Multisystem Inflammatory Syndrome in Children Following SARS-CoV-2 Infection in a Rural Emergency Department TEST INSTRUCTIONS PROVIDER ACCREDITATION Read the article. The test for this nursing continuing Lippincott Professional Development will award 2.0 con- professional development (NCPD) activity is to be taken tact hours and 0 pharmacology contact hours for this online at www.nursing center.com/CE/AENJ. Tests can nursing continuing professional development activity. no longer be mailed or faxed. Lippincott Professional Development is accredited as a You’ll need to create an account (it’s free!) and log in to provider of nursing continuing professional development access My Planner before taking online tests. Your planner by the American Nurses Credentialing Center’s Commis- will keep track of all your Lippincott Professional Develop- sion on Accreditation. ment online NCPD activities for you. This activity is also provider approved by the Califor- There’s only one correct answer for each question. A nia Board of Registered Nursing, Provider Number CEP passing score for this test is 7 correct answers. If you pass, 11749 for 2.0 contact hours. Lippincott Professional De- you can print your certificate of earned contact hours and velopment is also an approved provider of continuing access the answer key. If you fail, you have the option of nursing education by the District of Columbia, Georgia, taking the test again at no additional cost. and Florida, CE Broker #50-1223. Your certificate is valid For questions, contact Lippincott Professional Develop- in all states. ment: 1-800-787-8985. Payment: The registration fee for this test is $21.95. Registration deadline is June 2, 2023. AENJ0421B CE TEST QUESTIONS Learning Outcome: Health care providers will 3. In the clinical case the authors pre- 6. Which vital sign change might you ex- demonstrate competency in clinical reasoning regarding sented, the child previously did not pect to find if the child has MIS-C? multisystem inflammatory syndrome in children (MIS-C) meet the criteria of the Centers a. bradypnea resulting from COVID-19 by achieving a minimum score for Disease Control and Prevention b. bradycardia of 70% on the outcomes-based posttest. for a diagnosis of MIS-C; however, c. hypotension Learning Objectives: After completing this con- two-organ system involvement would 7. As you check the child’s laboratory tinuing professional development activity, the participant have met the criteria had the provider results, you expect that, with MIS-C, will be able to apply knowledge gained to a case scenario included the child’s you might see to: a. hydration status and pain. a. hypernatremia. 1. Identify factors contributing to the development of b. liver enzyme levels and recent rash. b. lymphocytopenia. MIS-C. c. erythrocyte sedimentation rate. c. an elevated albumin level. 2. Analyze findings that, when overlooked, could result Case-based assessment: You are an in a failure to diagnose MIS-C. 8. Results of the patient’s echocardio- emergency department nurse who is 3. Apply evidence-based guidelines for evaluating a gram indicate a common finding with evaluating a 6-year-old girl whose parents child who might have MIS-C. MIS-C, which is report an exposure to COVID-19 from an 4. Choose the recommended interventions for children a. pericardial effusion. overnight visit with another family. Based who have MIS-C. b. hypertrophic cardiomyopathy. on the clinical manifestations and the 1. Which of the following statements re- c. decreased left ventricular function. laboratory results, identify the likelihood garding MIS-C is accurate? of the child experiencing MIS-C and the 9. You expect that the advanced prac- a. MIS-C most often affects infants and young chil- interventions the advanced practice clini- tice clinician will prescribe dren. cian is likely to prescribe. Questions 4–10 a. a corticosteroid. b. It is a fairly common complication of COVID-19. are based on this clinical scenario. b. an anticonvulsant. c. It is more prevalent among Black and Hispanic 4. Your first clue to the possibility of the c. a muscle relaxant. children. child having MIS-C is the parent’s re- 10. You anticipate that which of the fol- 2. Most MIS-C cases have had negative port of a persistent lowing interventions might also be SARS-CoV-2 polymerase chain reac- a. cough. necessary for this child? tion testing and positive serological b. vesicular rash. a. colloid infusions testing, which validate the hypothesis c. unexplained fever. b. intravenous analgesia that MIS-C is the result of 5. As you evaluate the child, you antic- c. prophylactic antithrombotic therapy a. postinfectious immune dysregulation. ipate finding which of the following b. a previous infection with Kawasaki disease. manifestations common with MIS-C? c. misdiagnosed toxic shock syndrome. a. abdominal pain b. muscle pain c. joint pain E4 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Advanced Emergency Nursing Journal Wolters Kluwer Health

INSTRUCTIONS: A Case of Multisystem Inflammatory Syndrome in Children Following SARS-CoV-2 Infection in a Rural Emergency Department

Advanced Emergency Nursing Journal , Volume 43 (2) – Apr 1, 2021
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Publisher
Wolters Kluwer Health
Copyright
© 2021 Wolters Kluwer Health, Inc. All rights reserved.
ISSN
1931-4485
eISSN
1931-4493
DOI
10.1097/tme.0000000000000355
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Abstract

EARN NCPD CREDIT ONLINE Go to http://www.nursingcenter.com/CE/AENJ and receive a certificate within minutes. INSTRUCTIONS A Case of Multisystem Inflammatory Syndrome in Children Following SARS-CoV-2 Infection in a Rural Emergency Department TEST INSTRUCTIONS PROVIDER ACCREDITATION Read the article. The test for this nursing continuing Lippincott Professional Development will award 2.0 con- professional development (NCPD) activity is to be taken tact hours and 0 pharmacology contact hours for this online at www.nursing center.com/CE/AENJ. Tests can nursing continuing professional development activity. no longer be mailed or faxed. Lippincott Professional Development is accredited as a You’ll need to create an account (it’s free!) and log in to provider of nursing continuing professional development access My Planner before taking online tests. Your planner by the American Nurses Credentialing Center’s Commis- will keep track of all your Lippincott Professional Develop- sion on Accreditation. ment online NCPD activities for you. This activity is also provider approved by the Califor- There’s only one correct answer for each question. A nia Board of Registered Nursing, Provider Number CEP passing score for this test is 7 correct answers. If you pass, 11749 for 2.0 contact hours. Lippincott Professional De- you can print your certificate of earned contact hours and velopment is also an approved provider of continuing access the answer key. If you fail, you have the option of nursing education by the District of Columbia, Georgia, taking the test again at no additional cost. and Florida, CE Broker #50-1223. Your certificate is valid For questions, contact Lippincott Professional Develop- in all states. ment: 1-800-787-8985. Payment: The registration fee for this test is $21.95. Registration deadline is June 2, 2023. AENJ0421B CE TEST QUESTIONS Learning Outcome: Health care providers will 3. In the clinical case the authors pre- 6. Which vital sign change might you ex- demonstrate competency in clinical reasoning regarding sented, the child previously did not pect to find if the child has MIS-C? multisystem inflammatory syndrome in children (MIS-C) meet the criteria of the Centers a. bradypnea resulting from COVID-19 by achieving a minimum score for Disease Control and Prevention b. bradycardia of 70% on the outcomes-based posttest. for a diagnosis of MIS-C; however, c. hypotension Learning Objectives: After completing this con- two-organ system involvement would 7. As you check the child’s laboratory tinuing professional development activity, the participant have met the criteria had the provider results, you expect that, with MIS-C, will be able to apply knowledge gained to a case scenario included the child’s you might see to: a. hydration status and pain. a. hypernatremia. 1. Identify factors contributing to the development of b. liver enzyme levels and recent rash. b. lymphocytopenia. MIS-C. c. erythrocyte sedimentation rate. c. an elevated albumin level. 2. Analyze findings that, when overlooked, could result Case-based assessment: You are an in a failure to diagnose MIS-C. 8. Results of the patient’s echocardio- emergency department nurse who is 3. Apply evidence-based guidelines for evaluating a gram indicate a common finding with evaluating a 6-year-old girl whose parents child who might have MIS-C. MIS-C, which is report an exposure to COVID-19 from an 4. Choose the recommended interventions for children a. pericardial effusion. overnight visit with another family. Based who have MIS-C. b. hypertrophic cardiomyopathy. on the clinical manifestations and the 1. Which of the following statements re- c. decreased left ventricular function. laboratory results, identify the likelihood garding MIS-C is accurate? of the child experiencing MIS-C and the 9. You expect that the advanced prac- a. MIS-C most often affects infants and young chil- interventions the advanced practice clini- tice clinician will prescribe dren. cian is likely to prescribe. Questions 4–10 a. a corticosteroid. b. It is a fairly common complication of COVID-19. are based on this clinical scenario. b. an anticonvulsant. c. It is more prevalent among Black and Hispanic 4. Your first clue to the possibility of the c. a muscle relaxant. children. child having MIS-C is the parent’s re- 10. You anticipate that which of the fol- 2. Most MIS-C cases have had negative port of a persistent lowing interventions might also be SARS-CoV-2 polymerase chain reac- a. cough. necessary for this child? tion testing and positive serological b. vesicular rash. a. colloid infusions testing, which validate the hypothesis c. unexplained fever. b. intravenous analgesia that MIS-C is the result of 5. As you evaluate the child, you antic- c. prophylactic antithrombotic therapy a. postinfectious immune dysregulation. ipate finding which of the following b. a previous infection with Kawasaki disease. manifestations common with MIS-C? c. misdiagnosed toxic shock syndrome. a. abdominal pain b. muscle pain c. joint pain E4

Journal

Advanced Emergency Nursing Journal – Wolters Kluwer Health

Published: Apr 1, 2021

There are no references for this article.