On assessment of a child admitted with a diagnosis of acute-stage Kawasaki disease, the nurse expects to note which clinical manifestation of the acute stage of the disease?

The correct answer is D: Conjunctival hyperemia. In Kawasaki disease, conjunctival hyperemia is a typical clinical manifestation seen during the acute stage due to the inflammation of blood vessels in the eyes. This symptom is a key diagnostic criteria for Kawasaki disease. Cracked lips (A) and desquamation of the skin (B) are more commonly seen in the subacute or convalescent phases, not the acute stage. A normal appearance (C) would not be expected in a child with acute Kawasaki disease, as they typically present with fever and other systemic symptoms. Therefore, choice D is the most appropriate manifestation to expect during the acute stage of the disease.