A child diagnosed with Kawasaki disease is brought to the clinic. The mother reports that her child is irritable, refuses to eat, and has skin peeling on both hands and feet. Which intervention should the nurse instruct the mother to implement first?

Choice D rationale The nurse should instruct the mother to place the child in a quiet environment first. Kawasaki disease is an illness that can cause inflammation in the blood vessels and can lead to symptoms such as irritability and skin peeling. Placing the child in a quiet environment can help reduce stimulation and promote rest, which can help improve the child’s symptoms. Choice A rationale Applying lotion to hands and feet may help with the symptom of skin peeling, but it does not address the underlying issue of the child’s irritability or refusal to eat. Choice B rationale While it’s important for parents to rest when possible, this does not directly address the child’s symptoms. Choice C rationale Making a list of foods that the child likes could potentially help with the child’s refusal to eat, but it does not address the child’s irritability or skin peeling.