What is an important aspect of care for a child with congenital heart disease?

Correct Answer: D

Rationale: Monitoring growth and development is crucial for children with congenital heart disease to ensure they are meeting developmental milestones and managing the disease effectively. This helps healthcare providers assess the child's overall health, detect any potential issues early, and adjust treatment plans accordingly. Restricting physical activity may not be necessary for all children with congenital heart disease and should be determined by their healthcare team based on individual needs. Increasing fluid intake and administering high doses of vitamins may not be directly related to managing congenital heart disease and should be guided by specific recommendations from healthcare providers.

Correct Answer: A

Rationale: The correct answer is A. Persistent fever lasting more than 5 days is a hallmark symptom of Kawasaki disease, often accompanied by rash and conjunctivitis. Excessive vomiting (choice B), sudden weight gain (choice C), and decreased appetite (choice D) are not typically associated with Kawasaki disease. Therefore, choices B, C, and D can be eliminated as they do not align with the common symptoms of Kawasaki disease.

Correct Answer: A

Rationale: The correct answer is A: Provide a peak flow meter. Providing a peak flow meter is crucial for a child with a new diagnosis of asthma as it helps monitor asthma control and manage symptoms by tracking changes in airflow. This device assists in assessing how well the lungs are functioning and guides treatment decisions. Limiting all physical activity (choice B) is not recommended as regular exercise can actually help improve lung function in asthmatic children. Increasing dairy consumption (choice C) is not a key intervention for asthma, and recommending frequent use of nasal decongestants (choice D) is not suitable for asthma management in children.

Correct Answer: A

Rationale: When a child is suspected to have a fracture, it is essential to immobilize the affected limb to prevent further injury. Seeking immediate medical evaluation is crucial for an accurate diagnosis and appropriate treatment. Applying heat to a suspected fracture can worsen the condition by increasing swelling and pain. Allowing the child to continue normal activity can lead to further damage. Administering only over-the-counter pain relief is insufficient and does not address the need for immobilization and professional evaluation.

Correct Answer: A

Rationale: The correct answer is A: Decreased urine output. When a child with diarrhea is dehydrated, they may have decreased urine output, indicating that their body is conserving fluids. This sign highlights the importance of fluid replacement to prevent worsening dehydration. Choices B, C, and D are incorrect. Increased appetite is not typically associated with dehydration but can be seen in other conditions. Warm, dry skin may be a sign of fever or other skin conditions, not specifically dehydration. Elevated blood pressure is not a common sign of dehydration in a child with diarrhea.