When caring for the child with Kawasaki disease, what should the nurse know to provide safe and effective care?
a. Aspirin is contraindicated.
b. The principal area of involvement is the joints.
c. The child's fever is usually responsive to antibiotics within 48 hours.
d. Therapeutic management includes administration of gamma globulin and salicylates.
ANS: D
High-dose intravenous gamma globulin and salicylate therapy are indicated to reduce the incidence of coronary artery abnormalities when given within the first 10 days of the illness. Aspirin is part of the therapy. Mucous membranes, conjunctiva, changes in the extremities, and cardiac involvement are seen. The fever of Kawasaki disease is unresponsive to antibiotics. It is responsive to anti-inflammatory doses of aspirin and antipyretics.
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