A 3 year old child with upper respiratory infection and low-grade fever is being treated with Acetominophen. The nurse is reviewing important anticipatory guidance with the parents which statement by the parents indicates the need for further teaching about this medication?

I can give this medication every 2 hrs for fever

I can give up to 4000 mg each day by mouth if my child is irritable

I can give this medication rectally if my child has a fever and is having vomiting

I will notify the provider notice that the whites of my child's eyes are yellow

Answer and Explanation

The Correct Answer is B

A. Acetaminophen can be given every 4 to 6 hours, but every 2 hours is too frequent and indicates a need for further teaching.

B. The maximum daily dose for a child should be based on their weight and typically should not exceed 75 mg/kg/day; stating 4000 mg is too high for a child, indicating a misunderstanding of dosing.

C. Administering acetaminophen rectally is appropriate if the child cannot take it orally, particularly during vomiting episodes.

D. Notifying the provider about jaundice is critical, as it may indicate liver dysfunction, which is important when using acetaminophen.

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Correct Answer is D

Explanation

A. Administering iron supplements at mealtimes can decrease absorption, making it less effective.

B. Giving ferrous sulfate with milk can inhibit the absorption of iron due to the calcium content.

C. Administering iron at bedtime is not recommended because it can cause gastrointestinal upset and may interfere with sleep.

D. Giving ferrous sulfate with orange juice enhances the absorption of iron due to the vitamin C content, which is beneficial for children with iron deficiency anemia.

A. "I will elevate the affected part.” B. "I will have my child rest.” C. "I will apply heat.” D. "I will compress the site.”

Correct Answer is C

Explanation

A. Elevating the affected part is correct and helps reduce swelling and bleeding.

B. Resting the affected area is appropriate and will help minimize movement and further bleeding.

C. Applying heat is not recommended for bleeding episodes as it can increase blood flow and exacerbate bleeding; ice is generally recommended.

D. Compressing the site is appropriate as it helps control bleeding and provides pressure to the affected area.

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A 3 year old child with upper respiratory infection and low-grade fever is being treated with Acetominophen. The nurse is reviewing important anticipatory guidance with the parents which statement by the parents indicates the need for further teaching about this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a pediatric clinic is caring for a child who has iron deficiency anemia and a new prescription for ferrous sulfate tablets. Which of the following instructions should the nurse provide the parents regarding administration of this medication?

Correct Answer is D

Explanation

A nurse is teaching a parent of a child who has hemophilia how to control a minor bleeding episode. Which of the following statements by the parent indicates a need for further teaching?

Correct Answer is C

Explanation

A nurse is discharging a child who has sickle cell anemia after an acute crisis episode. Which of the following instructions should the nurse include in the teaching?

A 9-year-old client presents to the emergency department after a bee sting and experiencing bouts of nausea and vomiting. The nurse notes the client's blood pressure is 68/40 mm Hg, pulse is 148 beats/minute. 02 saturation is 86%, and the child is dyspneic. Which action is the nurse's priority?

A 3 year old child with upper respiratory infection and low-grade fever is being treated with Acetominophen. The nurse is reviewing important anticipatory guidance with the parents which statement by the parents indicates the need for further teaching about this medication?

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