The nurse is developing a plan of care for a client diagnosed with Kawasaki disease. Which of the following should the nurse include in the client's plan of care?
Select all that apply.
The nurse is developing a plan of care for a client diagnosed with Kawasaki disease. Which of the following should the nurse include in the client's plan of care?
Select all that apply.
Statistics
Subject/Lesson
Subject
Child Health
Lesson
Cardiovascular
Client Need
Test Plan
Physiological Adaptation
Related Topic
Illness Management
Item Type
Item Type
Application
Explanation
Choices B, C, and E are correct. Kawasaki disease is an autoimmune disorder that occurs primarily in individuals younger than five. This disease process may consequently cause inflammation of the coronary arteries leading to aneurysms. Thus, an electrocardiogram should be performed along with an echocardiogram. Soft foods and liquids should be offered because of the chapping of the lips, oral mucositis, and an erythematous 'strawberry tongue.' Fluids would be encouraged because of the fever commonly associated with Kawasaki disease. Finally, treatment for this disease includes either medium to high-dose aspirin or intravenous immunoglobin.
Choices A and D are incorrect. Kawasaki disease is an inflammatory condition causing systemic vasculitis. Thus, standard precautions are applicable for this disease. Fluid restrictions are not helpful in an individual with Kawasaki disease, and the nurse should encourage more fluids because of the fever associated with this syndrome.
Related Videos
2 Key Topics
Kawasaki Disease
31.12 Hematologic & Metabolic Conditions
Additional Info
✓ Kawasaki disease is an inflammatory syndrome commonly found in individuals younger than five, affecting males more than females.
✓ Classic symptoms include fever, chapped lips, bilateral conjunctivitis, and polymorphous rash.
✓ Prompt treatment with aspirin or intravenous immunoglobin is needed to prevent injury to the coronary arteries.
✓ It is important to note that Kawasaki disease is the one time that aspirin is administered in the pediatric population.
✓ Usually, it is avoided due to the risk of Reye's syndrome. However, Kawasaki disease is the exception to this rule, and aspirin is routinely used in this case.
