The nurse is caring for a child with Kawasaki disease in the ...

[karlynnae]

The nurse is caring for a child with Kawasaki disease in the acute phase. What clinical manifestations should the nurse expect to observe? (Select all that apply.)
 
  a. Osler nodes
  b. Cervical lymphadenopathy
  c. Strawberry tongue
  d. Chorea
  e. Erythematous palms
  f. Polyarthritis

Question 2

During a well-child visit, the father of a 4-year-old boy tells the nurse that he is not sure if his son is ready for kindergarten. The boy's birthday is close to the cut-off date, and he has not attended preschool. What is the nurse's best recommendation
 
  a. Start kindergarten.
  b. Talk to other parents about readiness.
  c. Perform a developmental screening.
  d. Postpone kindergarten and go to preschool.

[macybarnes]

Answer to Question 1

ANS: B, C, E
Clinical manifestations of Kawasaki disease in the acute phase include cervical lymphadenopathy, a strawberry tongue, and erythematous palms. Osler nodes are a clinical manifestation of endocarditis. Chorea and polyarthritis are seen in rheumatic fever.

Answer to Question 2

ANS: C
A developmental assessment with a screening tool that addresses cognitive, social, and physical milestones can help identify children who may need further assessment. A readiness assessment involves an evaluation of skill acquisition. Stating the child should start kindergarten or go to preschool and postpone kindergarten does not address the father's concerns about readiness for school. Talking to other parents about readiness does not ascertain if the child is ready and does not address the father's concerns.