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.
Late onset of Huntington disease
Equipment Used in Physical Assessment
Nursing history for nail assessment
Patient teaching: nail assessment
Risk of Stroke and Heart Disease Increase with Increasing Blood Pressure
Goiter as commonly seen in autoimmune thyroid disease.