A three-year-old, is admitted to the pediatric medical unit with acute kawasaki disease. What signs and symptoms are you most likely to note as you do your intake assessment?

A. A low erythrocyte sedimentation rate (ESR) is not typical in Kawasaki disease; the ESR is usually elevated due to inflammation. B. Abdominal pain and vomiting can occur, but they are not as classic as the fever, "strawberry tongue", and peeling of palms and soles. C. Fever, "strawberry tongue", and peeling palms and soles are classic signs of acute Kawasaki disease, reflecting inflammation and mucocutaneous involvement. D. Coarse breath sounds and abnormal ECG may occur, but are not primary features of Kawasaki disease; joint pain can occur but is usually less prominent.