The nurse is caring for a 6-month-old child with a rash. Which information from the parent strongly suggests that roseola is the diagnosis?
A) The rash is a mixture of papules and pustules.
B) The infant is lethargic and not interested in playing.
C) The infant's temperature fell when the rash appeared.
D) The infant's temperature rose at the same time as the rash appeared.
C
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The rash of roseola is distinctive. There are discrete, rose-pink macules approximately 2 to 3 mm in size and flat with the skin surface. With roseola, infants become irritable and anorexic although even with a high fever remain playful and alert. The condition is diagnosed based on the physical signs and symptoms with the hallmark being a rash that appears immediately after a sharp decline in fever.
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