For parent teaching in Kawasaki disease, which practice is important to monitor?

• A. Check for fever
• B. Limit fluids to prevent edema
• C. Monitor blood glucose daily
• D. Avoid fever monitoring

Answer: (A)

Monitoring fever after Kawasaki disease is crucial because fever reflects ongoing inflammation and how well treatment is working. After IVIG therapy, fever usually goes away within about 24 to 48 hours. If fever persists or returns, it can indicate continued inflammation or IVIG resistance, which raises the risk of heart-related complications like coronary artery aneurysms. Therefore, parents should regularly check and record the child’s temperature for several days after treatment and contact a clinician if the fever lasts more than a day after treatment or recurs. Hydration is important, so fluids should be maintained rather than limited, and routine daily glucose monitoring isn’t a standard home care practice for Kawasaki disease.