A nurse is planning care for a preschool-age child who is in the acute phase of Kawasaki disease. Which of the following interventions should the nurse include in the plan of care?
Explanation & Rationale
A) Monitoring the child's cardiac status is crucial in the acute phase of Kawasaki disease, as the disease can lead to complications such as myocarditis and coronary artery aneurysms. Regular assessment of heart rate, blood pressure, and any signs of heart failure is essential for early detection and intervention. B) Antibiotics are not routinely administered for Kawasaki disease unless there is a concurrent bacterial infection. The primary treatment includes high-dose aspirin and intravenous immunoglobulin (IVIG) to reduce inflammation and prevent cardiac complications. C) While acetaminophen can be used to manage fever and discomfort, giving it every hour is not appropriate. Scheduled doses should follow dosing guidelines to avoid toxicity and manage the child's symptoms effectively. D) During the acute phase, children with Kawasaki disease may experience irritability and require rest. Providing stimulation with peers in the playroom may be inappropriate due to the need for reduced activity and rest, making this intervention less suitable.