Author Question: The nurse observes a red rash that spreads across the child's cheeks and nose. This assessment ... (Read 67 times)

Kthamas · **on:** Jun 27, 2018

The nurse observes a red rash that spreads across the child's cheeks and nose. This assessment finding is characteristic of which of the following conditions?

a. Systemic lupus erythematosus (SLE)
b. Rheumatic fever
c. Kawasaki disease
d. Anaphylactic reaction

Question 2

A mother of a child in the terminal stages of AIDS tells the nurse that her child wants to celebrate his birthday early because he won't be here on his birthday. Which is the best response the nurse can make to this mother?

a. What does your husband think about giving the party for the child?
b. How does the family feel about your giving in to the child?
c. Ill children can be very manipulative..
d. Is this the first time he has spoken about death?

debra928 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A
A red, flat, or raised malar butterfly rash over the cheeks and bridge of the nose is a clinical manifestation of SLE. A major manifestation of rheumatic fever is erythema marginatum, which appears as red skin lesions spread peripherally over the trunk. An erythematous rash, induration of the hands and feet, and erythema of the palms and soles are manifestations of Kawasaki disease. Initial symptoms of anaphylaxis include severe itching and rapid development of erythema.

Answer to Question 2

D
Dying children know they are dying. Disclosure of awareness of death comes in various ways and needs to be identified by the family and the nurse. The major concern is the child's disclosure of awareness of death, not the husband's reaction. Making statements such as giving in is inappropriate when seeking information. Manipulation is not a major concern during the terminal stage of disease.