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 ["A","B","C","D"]
Explanation
A. "I will avoid foods high in fat." - This is a correct statement. High-fat foods can contribute to the symptoms of GERD.
B. "I will eat small frequent meals and have a snack at bedtime." - This is a correct statement. Eating smaller, more frequent meals and avoiding large meals before bedtime can help manage GERD symptoms.
C. "Orange juice may aggravate my symptoms." - This is a correct statement. Citrus juices, including orange juice, are acidic and can worsen GERD symptoms.
D. "I will wait 2 hours after eating lunch before lying down for a nap." - This is a correct statement. Waiting a few hours after eating before lying down can help prevent stomach contents from refluxing into the esophagus.
Correct Answer is B
Explanation
A. Butorphanol
Butorphanol is a mixed opioid agonist-antagonist. It has both agonist and antagonist properties at opioid receptors. While it can be used for pain management, it is not commonly used for opioid overdose reversal.
B. Naloxone
Naloxone is an opioid receptor antagonist and is the drug of choice for reversing opioid overdose, including morphine overdose. It works by competitively binding to opioid receptors, blocking the effects of opioids.
C. Flumazenil
Flumazenil is a selective antagonist for benzodiazepines. It is used to reverse the effects of benzodiazepine overdose but does not have an effect on opioid overdose.
D. Pentazocine
Pentazocine is a mixed opioid agonist-antagonist. Like butorphanol, it has both agonist and antagonist properties at opioid receptors. It is used for pain management but is not commonly used for opioid overdose reversal.
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