A father presents to the emergency department with his 4 year old son. The father explains that his son had a fever, so he gave the child baby aspirin to decrease the fever and it has not worked. What should concern the nurse about a 4 year old receiving aspirin?
Aspirin has the potential to cause gastrointestinal (GI) bleeding in children
Aspirin has the potential to cause hyperglycemia
Aspirin has the potential to cause ringing in the ears in children
Aspirin has the potential to cause Reye's syndrome in children.
The Correct Answer is D
A. Aspirin has the potential to cause gastrointestinal (GI) bleeding in children.
While it is true that aspirin can cause GI bleeding, this is not the primary concern in this scenario. Reye's syndrome, a severe and potentially fatal condition, is the more significant worry when aspirin is given to children with viral infections.
B. Aspirin has the potential to cause hyperglycemia.
Hyperglycemia (high blood sugar) is not a known effect of aspirin in children. Aspirin is not typically associated with glucose metabolism issues.
C. Aspirin has the potential to cause ringing in the ears (tinnitus) in children.
Tinnitus can occur with aspirin use, but it is not the primary concern in this situation. Reye's syndrome is a more serious and immediate risk associated with aspirin use in children with viral infections.
D. Aspirin has the potential to cause Reye's syndrome in children.
This is the correct and most significant concern. Reye's syndrome is a rare but severe condition associated with aspirin use in children during or after viral infections. It affects the liver and brain and can be life-threatening.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D","E"]
Explanation
A. Dietary restriction while taking hydrocodone
There are no specific dietary restrictions associated with hydrocodone use. This option is not relevant to hydrocodone therapy.
B. Instructions not to exceed recommended dosage
It is crucial to emphasize to the patient not to exceed the recommended dosage of hydrocodone. Exceeding the prescribed dose can lead to adverse effects, including respiratory depression.
C. Instructions not to use alcohol or CNS depressants while taking hydrocodone
Hydrocodone is a central nervous system (CNS) depressant. Combining it with alcohol or other CNS depressants can increase the risk of respiratory depression and sedation. Patients should be advised to avoid alcohol and other drugs that depress the CNS.
D. Instructions on how to prevent constipation
Opioid medications, including hydrocodone, can cause constipation. Patients should receive instructions on how to prevent constipation, such as increasing fluid and fiber intake and incorporating regular physical activity.
E. Side effects to report
Patients should be educated about potential side effects of hydrocodone and instructed to report any unusual or severe side effects to their healthcare provider promptly. This may include symptoms such as respiratory distress, severe drowsiness, or allergic reactions.
Correct Answer is D
Explanation
A. Depression:
CNS stimulants are generally not indicated for depression. In fact, they can exacerbate symptoms and are not considered a first-line treatment for depressive disorders.
B. Opiate overdose:
CNS stimulants are not indicated for treating opiate overdose. In cases of overdose, other medications like naloxone are commonly used to reverse the effects of opioids.
C. Poor appetite:
CNS stimulants may be used to increase alertness and decrease fatigue, but they are not typically prescribed to address poor appetite. Appetite stimulation is often managed through other approaches.
D. Narcolepsy:
This is the correct answer. CNS stimulants, such as modafinil or methylphenidate, are commonly prescribed to manage symptoms of narcolepsy. These medications help improve wakefulness and reduce excessive daytime sleepiness.
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