A nurse in a pediatric clinic in caring for a child who has iron deficiency anemia and is to start taking ferrous sulfate syrup. Which of the following Instructions should the nurse give the parent?

A. Respiratory

Kawasaki disease primarily affects the cardiovascular system rather than the respiratory system. While respiratory symptoms such as cough or congestion may occur in some cases, they are not the primary focus of the disease.

B. Gastrointestinal

Although gastrointestinal symptoms such as abdominal pain, vomiting, or diarrhea can occur in Kawasaki disease, they are not the primary system affected. Gastrointestinal symptoms are considered part of the systemic manifestations of the disease but do not define its primary pathology.

C. Cardiovascular

This is the correct answer. Kawasaki disease primarily affects the cardiovascular system. It is characterized by inflammation of the blood vessels, particularly the medium-sized arteries, including the coronary arteries. Coronary artery involvement can lead to coronary artery aneurysms and other cardiovascular complications, making the cardiovascular system the primary focus of the disease.

D. Integumentary

The integumentary system (skin) is not primarily affected by Kawasaki disease. While changes in the skin, such as a rash, may occur as part of the systemic manifestations of the disease, they are not the primary focus of Kawasaki disease.

A. Applying suction for 20 seconds:

Suctioning for 20 seconds is within the recommended duration for endotracheal suctioning in children. It allows adequate time for removing secretions without causing excessive trauma to the airway.

B. Introducing the catheter without suction:

This action is incorrect. When performing endotracheal suctioning, the catheter should be introduced into the endotracheal tube while applying suction. Introducing the catheter without suction may not effectively remove secretions and can lead to ineffective suctioning.

C. Rotating the catheter between the thumb and forefinger while suctioning:

Rotating the catheter between the thumb and forefinger while suctioning helps to prevent the catheter from sticking to the airway walls and facilitates the removal of secretions. This action is appropriate and helps ensure effective suctioning.

D. Allowing the child to rest for 30 to 60 seconds between suctioning passes:

Allowing the child to rest between suctioning passes helps minimize hypoxia and discomfort during the procedure. This action is appropriate and ensures that the child has adequate time to recover before the next suctioning pass.