A nurse is assessing a child who has rubeola. Which of the following findings should the nurse expect?

A. Paroxysmal coughing: This intense, spasmodic coughing is typical of pertussis (whooping cough) and is not a feature of rubeola. Rubeola primarily affects the respiratory tract differently, with symptoms like cough but not the characteristic whooping sound. B. Koplik spots: These small, white or bluish-white lesions on the buccal mucosa are pathognomonic for rubeola and usually appear 1–2 days before the characteristic measles rash. They provide an early clinical clue for diagnosis and help differentiate rubeola from other viral illnesses. C. Steatorrhea: The presence of fatty stools indicates malabsorption, often due to gastrointestinal disorders like cystic fibrosis or celiac disease. Rubeola does not typically affect fat absorption or cause gastrointestinal symptoms of this type. D. Lymphadenopathy: While some viral infections cause swollen lymph nodes, rubeola usually presents with generalized symptoms like fever and rash rather than significant lymphadenopathy. Lymph node enlargement may occur but is not a defining feature.