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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Deflecting the question to the doctor does not provide the patient with helpful information and shows a lack of communication.
B. While the test can indicate renal impairment, it is more accurate to say it assesses overall kidney function rather than confirming a specific disease.
C. Although medications can affect kidney function, the serum creatinine level is not specifically for evaluating medication interference.
D. The serum creatinine test is a standard measure of kidney function, indicating how well the kidneys are filtering waste from the blood.
Correct Answer is ["C","D"]
Explanation
A. Frequent, thorough handwashing is essential to prevent infection, especially for immunocompromised children.
B. Having the child sleep in a separate bed and room may help minimize exposure to pathogens from family members.
C. Encouraging frequent close contact with visitors increases the risk of infections and should be avoided.
D. Fresh flowers and plants can harbor bacteria and should be avoided in the environment of an immunocompromised child.
E. Protecting the central venous access device is vital to prevent infections; this practice should be emphasized.
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