A 10-Year-Old Child Has a 1-Week History of Fever of 104°C

question 12

Multiple Choice

A 10-year-old child has a 1-week history of fever of 104°C that is unresponsive to antipyretics. The primary care pediatric nurse practitioner examines the child and notes bilateral conjunctival injection and a polymorphous exanthema, with no other symptoms. Lab tests show elevated ESR, CRP, and platelets. Cultures are all negative. What will the nurse practitioner do?

• A) Begin treatment with intravenous methyl prednisone.
• B) Consider IVIG therapy if symptoms persist one more week.
• C) Order a baseline echocardiogram today and another in 2 weeks.
• D) Reassure the child's parents that this is a self-limiting disorder.

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