Question

A nurse is performing an admission assessment of a preschooler who is in the acute phase of Kawasaki disease. Which of the following findings should the nurse expect?

A) Fever unresponsive to antipyretics
B) Pain in weight-bearing joints
C) Decreased HR
D) Peeling of the soles of the feet

Answer 1

In the acute phase of Kawasaki disease, a nurse should expect to see peeling of the soles of the feet, which is a common symptom alongside fever unresponsive to antipyretics and other signs of systemic vasculitis.

Step-by-step explanation:

The nurse performing an admission assessment of a preschooler who is in the acute phase of Kawasaki disease should expect to find peeling of the soles of the feet as a clinical sign. Kawasaki disease is characterized by systemic vasculitis, and common symptoms during the acute phase include fever unresponsive to antipyretics, which can last for more than five days, conjunctival redness, swollen hands and feet, rash, and redness or inflammation of the lips and mouth. As the disease progresses, peeling of the skin on the hands and feet, particularly around the nails and on the soles can occur. While pain in weight-bearing joints and decreased heart rate (decreased HR) are not typically associated with the acute phase of Kawasaki disease, they could present in other conditions or more severe cases. The presented option of Peeling of the soles of the feet is an expected finding in the acute phase of Kawasaki disease.