2024 PN NCLEX Questions Nursing Practice Question
A client with Kawasaki disease has bilateral congestion of the conjunctivae, dry cracked lips, a strawberry tongue, and edema of the hands and feet followed by desquamation of fingers and toes. Which of the following nursing measures is most appropriate to meet the expected outcome of positive body image?
Correct Answer: C
Rationale: In managing Kawasaki disease, promoting a positive body image is crucial, especially given the visible symptoms like desquamation and changes in appearance. Explaining the progression of the disease to the client and their family (Option C) helps them understand the condition, alleviating anxiety and fostering acceptance of physical changes.
Option A, administering immune globulin, is vital for treating the disease but does not directly address body image concerns. Option B, while important for monitoring, focuses more on physical assessment than emotional support. Option D, assessing heart sounds and rhythm, is critical for medical management but does not engage with the client's emotional well-being or body image.