Author Question: Which of the following is the most characteristic finding of Kawasaki disease (KD) upon assessment? ... (Read 78 times)

09madisonrousseau09 · **on:** Jun 27, 2018

Which of the following is the most characteristic finding of Kawasaki disease (KD) upon assessment?

a. hands and feet that are tensely edematous and very erythematous with desquamation beginning by day 10
b. hives that come and go and do not follow the usual pattern--for example, half the lip or one eyebrow
c. projectile vomiting when the child is not held upright during feedings
d. tendency to squat quite frequently and for the lips to turn blue

Question 2

What are the three organ systems primarily affected by acute rheumatic fever?

a. heart, gastrointestinal, and joints
b. central nervous system, endocrine, and heart
c. heart, central nervous system, and joints
d. integumentary, genitourinary, and heart

jaymee143 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A

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A Correct. The most characteristic finding of KD are changes in the hands and feet that are tensely edematous and very erythematous with desquamation beginning by day 10 . This starts just under the finger and toenails and progresses to involve the palms and soles, with skin peeling in sheets.
B Incorrect. Hives that come and go and do not follow the usual pattern--for example, half the lip or one eyebrow--are not characteristic findings of KD.
C Incorrect. Projectile vomiting when the child is not held upright during feedings is not a characteristic finding of KD, but of pyloric stenosis (a gastrointestinal alteration)
D Incorrect. The tendency to squat quite frequently and for the lips to turn blue is characteristic of Tetralogy of Fallot, a congenital cardiac anomaly.

Answer to Question 2

C

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A Incorrect. The three organ systems primarily affected by acute rheumatic fever are not the heart, gastrointestinal, and joints.
B Incorrect. The three organ systems primarily affected by acute rheumatic fever are not the central nervous system, endocrine, and heart.
C Correct. The three organ systems primarily affected by acute rheumatic fever are the heart, central nervous system, and joints.
D Incorrect. The three organ systems primarily affected by acute rheumatic fever are not the integumentary, genitourinary, and heart.