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: Option C effectively addresses the need for education, which is crucial for fostering a positive body image. By explaining the progression of Kawasaki disease to the client and their family, it helps them understand the condition, reducing anxiety and promoting a sense of control.
Option A, administering immune globulin, is essential for treatment but does not directly relate to body image. Option B, while important for monitoring physical symptoms, focuses on assessment rather than addressing emotional and psychological well-being. Option D, assessing heart sounds and rhythm, is vital for cardiac monitoring but does not support the client’s self-perception or body image.