Kawasaki's Disease

Exposure to which illness should be a cause to discontinue therapy and substitute dipyridamole (Persantine) in a child receiving aspirin therapy for Kawasaki disease (KD)?

1. Chickenpox or influenza.

Which are the most serious complications for a child with Kawasaki disease (KD)?

1. Coronary thrombosis. 2. Coronary stenosis. 3. Coronary artery aneurysm.

The nurse is caring for a child with Kawasaki disease in the acute phase. Which of the following clinical manifestations would the nurse expect to observe?

Cervical lymphadenopathy Strawberry tongue Erythematous palms

Family discharge teaching has been effective when the parent of a toddler diagnosed with Kawasaki disease (KD) states:

I know she will be irritable for 2 months after her symptoms started."

A child who has reddened eyes with no discharge; red, swollen, and peeling palms and soles of the feet; dry, cracked lips; and a "strawberry tongue" most likely has

Kawasaki disease or KD.

When caring for the child with Kawasaki disease, the nurse should know which of the following?

Therapeutic management includes administration of gamma globulin and salicylates.

A nurse is preparing for the admission of a child with a diagnosis of acute-stage Kawasaki disease. On assessment of the child, the nurse expects to note which clinical manifestation of the acute stage of the disease?

conjunctival hyperemia

9. The nurse is caring for a child with a diagnosis of Kawasaki disease. The child's parent asks the nurse, "How does Kawasaki disease affect my child's heart and blood vessels?" The nurse's response is based on the understanding that:

inflammation weakens blood vessels, leading to aneurysm.

The nurse is assessing a child admitted with possible Kawasaki's disease. A characteristic sign or symptom that the nurse should observe and document would be:

peeling skin on fingers

Nursing care of the child with Kawasaki disease is challenging because of:

the child's irritability.