A child with Kawasaki Disease is admitted to the pediatric unit. To promote comfort, the nurse should do which of the following?

Choice A rationale Vigorous exercise is strongly contraindicated in a child with Kawasaki Disease, especially in the acute phase. The primary risk associated with this vasculitis is the potential development of coronary artery aneurysms. Physical exertion increases cardiac workload, which could potentially worsen myocardial ischemia or increase the risk of serious coronary complications. Choice B rationale Keeping the child NPO (nothing by mouth) is generally not indicated for routine comfort measures in Kawasaki Disease unless a specific invasive procedure or life-threatening complication, such as severe cardiac failure requiring intubation, is anticipated. Adequate hydration is crucial to prevent dehydration from fever and to maintain fluid balance, which is achieved through oral intake or intravenous fluids. Choice C rationale Administering aspirin is a critical part of the medical management for Kawasaki Disease and serves a dual purpose. High-dose aspirin is given for its anti-inflammatory properties to reduce fever and systemic inflammation. Later, low-dose aspirin is continued for its anti-platelet effects to prevent the formation of blood clots, especially in the setting of coronary artery aneurysms. Choice D rationale Splinting extremities for contractures is not a typical intervention for the acute phase of Kawasaki Disease. Joint pain (arthralgia) and stiffness may occur, but contractures are not a primary or immediate complication. To promote comfort, the nurse should instead handle the extremities gently and provide passive range of motion to prevent further joint stiffness.