The nurse observes a red rash that spreads across the child's cheeks and nose. This assessment finding is characteristic of which of the following conditions?
a. Systemic lupus erythematosus (SLE)
b. Rheumatic fever
c. Kawasaki disease
d. Anaphylactic reaction
A
A red, flat, or raised malar "butterfly" rash over the cheeks and bridge of the nose is a clinical manifestation of SLE. A major manifestation of rheumatic fever is erythema marginatum, which appears as red skin lesions spread peripherally over the trunk. An erythematous rash, induration of the hands and feet, and erythema of the palms and soles are manifestations of Kawasaki disease. Initial symptoms of anaphylaxis include severe itching and rapid development of erythema.
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