The nurse working with a child who has Kawasaki disease knows that between days 10 and 40 of the disease there is most often a danger of which of the following problems occurring?
a. a grand mal seizure c. hemorrhage
b. the formation of aneurysms d. a hypertensive stroke
B
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A Incorrect. A grand mal seizure is not most often a danger between days 10 and 40 of the disease.
B Correct. Between days 10 and 40 of KD there is most often a danger of the formation of aneurysms. There is a decrease in the inflammatory process during this time. However, because of earlier pathophysiological processes, vessels have undergone destructive changes. Coronary artery aneurysms are the most common types.
C Incorrect. Hemorrhage is not most often a danger between days 10 and 40 of the disease.
D Incorrect. A hypertensive stroke is not most often a danger between days 10 and 40 of the disease.
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