A nurse is contributing to a plan of care for a child who is 3 years of age. Which of the following developmental milestones should the nurse incorporate into the plan of care?

A. "Kawasaki disease is an abnormal immune response that only affects the liver." This is incorrect. Kawasaki disease primarily affects the blood vessels, especially the coronary arteries, not just the liver. While liver inflammation can occur, it is not the main concern.

B. "Kawasaki disease is an abnormal immune response that causes injury to the body's muscles." This is incorrect. Kawasaki disease is a vasculitis (inflammation of blood vessels), not a muscle disorder. It mainly affects the heart and blood vessels, potentially leading to aneurysms and long-term cardiac complications.

C. "Kawasaki disease is an abnormal immune response in which the body attacks the skin only." This is incorrect. While skin changes (such as a rash, peeling skin, and red palms/soles) are common symptoms, the primary concern is inflammation of the coronary arteries, which can lead to serious heart complications.

D. "Kawasaki disease is an abnormal immune system response that can weaken the coronary arteries." This is correct. Kawasaki disease triggers inflammation in medium-sized arteries, particularly the coronary arteries, which supply blood to the heart. If untreated, this can lead to coronary artery aneurysms, myocardial infarction, or long-term heart disease.

A. Incorporating traditional housing practices that were introduced to the nurse by another child's parents of Asian descent last month. Assuming that all families of Asian descent share the same cultural beliefs or practices ignores individual and regional differences. Each family has unique traditions and preferences that should be discussed directly with them.

B. Assuming that since the child's parents have brought the child to a hospital that practices Western medicine, traditional healing practices are not important to their culture. Seeking Western medical care does not mean that a family has abandoned their cultural beliefs or traditional healing practices. Many families integrate both Western and traditional approaches to healthcare.

C. Asking the child's parents if they use any traditional healing practices that the healthcare team should be aware of. This is the correct answer because it respects cultural diversity and allows the parents to share relevant information. Open-ended questions about cultural practices help incorporate family preferences into the child’s care while ensuring safe and effective treatment.

D. Providing the same care to this child as they would provide to every other child they provide care to. While consistent quality care is important, culturally competent care recognizes individual differences and respects each family’s beliefs and preferences. A one-size-fits-all approach fails to acknowledge cultural diversity in healthcare.