A child presents with a fever that has lasted for 4 days. Upon assessment, the nurse notes a strawberry tongue, reddened, painful skin on the palms of the hands and soles of the feet, and a diffuse, maculopapular rash. The rash do not blanch when pressure is applied. The nurse suspects which condition?

Kawasaki disease. Prolonged fever, strawberry tongue, diffuse rash, and reddened, painful palms of the hands and soles of the feet are indicative of Kawasaki disease. Scarlet fever can have a similar presentation to Kawasaki disease (namely, strawberry tongue); however, one of the distinguishing characteristics of the rash in Scarlet fever is that it blanches white when pressure is applied. The patient’s symptoms do not point to juvenile RA or HFMD.

A child presents with a fever that has lasted for 4 days. Upon as...

NCLEX Practice
Categories
Physiological Adaptation
View Question

Category: Physiological Adaptation
Difficulty: 9

Topics: Cardiovascular

Want help? View the answer with rationale.

Additional Physiological Adaptation Questions

The patient with severe asthma is found to be pale, diaphoretic, and agitated. Which assessment is most concerning?

Question Type: Multiple Choice - Select One
Difficulty: 5

The nurse is helping the nursing student to relate patient findings to pathophysiological concepts. Which findings, if selected by the nursing student as characteristics that prompt the kidneys to release renin, indicates a need for further teaching?

Question Type: Multiple Choice - Select One
Difficulty: 9

Which of these patients is least likely to develop disseminated intravascular coagulation (DIC)?

Question Type: Multiple Choice - Select One
Difficulty: 7

Show Calculator

Want help? View the answer with rationale.

Rationale

Additional Physiological Adaptation Questions

Nursing Careers

Nursing Degrees

NCLEX