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A child is in the acute phase of a disease with findings of a strawberry tongue, irritability, and a non-blistering rash. What disease could the child be experiencing?

A.

Measles

B.

Cardiomyopathy

C.

Tetralogy of Fallot

D.

Kawasaki Disease

Answer and Explanation

The Correct Answer is D

A. Measles: Typically presents with Koplik spots, a maculopapular rash, and fever, not a strawberry tongue or non-blistering rash.

B. Cardiomyopathy: Refers to a disease of the heart muscle; it does not cause a strawberry tongue or rash.

C. Tetralogy of Fallot: A congenital heart defect that presents with cyanosis and heart-related symptoms, not a strawberry tongue or rash.

D. Kawasaki Disease: Characterized by a strawberry tongue, fever, rash, conjunctivitis, and irritability, especially during the acute phase.


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Related Questions

Correct Answer is D

Explanation

A. Measles: Typically presents with Koplik spots, a maculopapular rash, and fever, not a strawberry tongue or non-blistering rash.

B. Cardiomyopathy: Refers to a disease of the heart muscle; it does not cause a strawberry tongue or rash.

C. Tetralogy of Fallot: A congenital heart defect that presents with cyanosis and heart-related symptoms, not a strawberry tongue or rash.

D. Kawasaki Disease: Characterized by a strawberry tongue, fever, rash, conjunctivitis, and irritability, especially during the acute phase.

Correct Answer is A

Explanation

A. Check for iodine or shellfish allergies prior to the procedure: Cardiac catheterization often involves the use of a contrast dye that contains iodine. If the child has an allergy to iodine or shellfish, there is an increased risk of an allergic reaction to the dye.

B. Place an NPO status for 12 hours prior to the procedure: NPO status typically is required for a few hours before a procedure involving anesthesia or sedation, but not necessarily for 12 hours. The specific time frame should be determined by the healthcare provider.

C. Elevate the affected extremity following the procedure: After cardiac catheterization, the affected extremity should typically be kept straight and immobilized to prevent bleeding or hematoma formation. Elevating the extremity may not be advisable.

D. Limit fluid intake following the procedure: After cardiac catheterization, the child should be encouraged to drink fluids to help flush the contrast dye from their system, unless contraindicated by other factors.

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