A child has come into the emergency department after a confirmed bite from a brown recluse. Which action can the nurse take to alleviate pain?

The correct answer is choice C. Therapeutic management includes administration of gamma globulin and aspirin.

Choice A rationale:

The child's fever in Kawasaki disease is not usually responsive to antibiotics within 48 hours. Kawasaki disease is an inflammatory condition of blood vessels, and it doesn't typically respond to antibiotics. The fever associated with Kawasaki disease often persists even with appropriate treatment, and the management focuses on reducing inflammation and preventing complications.

Choice B rationale:

Aspirin is not contraindicated in Kawasaki disease. In fact, aspirin is a key component of the therapeutic management of Kawasaki disease. It is used to reduce inflammation and prevent the development of coronary artery aneurysms, a severe complication of the disease. However, the dosing of aspirin in Kawasaki disease is different from its use for pain relief, and it should be administered under medical supervision.

Choice C rationale:

Therapeutic management of Kawasaki disease does include administration of gamma globulin and aspirin. Gamma globulin is given to reduce the risk of coronary artery involvement and aneurysm formation. Aspirin, at a specific dose regimen, is used to decrease inflammation and platelet aggregation, thus preventing clot formation in the coronary arteries.

Choice D rationale:

The principal area of involvement in Kawasaki disease is not the joints. Kawasaki disease primarily affects the blood vessels, particularly the coronary arteries. The inflammation of these arteries can lead to the development of coronary artery aneurysms, which is a critical concern in Kawasaki disease. Joint involvement is not a prominent feature of this condition.

The correct answer is choice A.

Choice A rationale:

Drawing is the most appropriate activity for developing fine motor skills in school-age children. Drawing involves precise hand movements, control of a writing instrument, and attention to detail. These skills contribute to fine motor skill development and hand-eye coordination.

Choice B rationale:

Singing is not directly related to fine motor skill development. While it can promote cognitive and social development, it does not require the same level of fine motor control as activities like drawing or writing.

Choice C rationale:

Swimming is a gross motor activity that focuses more on large muscle groups and overall coordination. It does not specifically target the refinement of fine motor skills.

Choice D rationale:

Soccer is also a gross motor activity that involves running, kicking, and coordination with teammates. While it promotes physical fitness and coordination, it does not emphasize the fine motor control required for activities like drawing.