The nurse is admitting a child who has been diagnosed with Kawasaki disease. What is the most serious complication for which the nurse should assess in Kawasaki disease?
a. Cardiac valvular disease
b. Cardiomyopathy
c. Coronary aneurysm
d. Rheumatic fever
C
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A Cardiac valvular disease can occur in rheumatic fever.
B Cardiomyopathies are diseases of the heart muscle, which can occur as a result of
congenital heart disease, coronary artery disease, or other systemic disease.
C Coronary artery aneurysms are seen in 20% to 25% of children with untreated
Kawasaki disease.
D Rheumatic fever is not a complication of Kawasaki disease.
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