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.

Answer and Explanation

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.

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Correct Answer is ["C","D"]

Explanation

A. Administer morphine 1-2 mg IV

Administering morphine is not a preventive measure for spinal headaches. It may be considered for pain relief if the patient experiences discomfort after the effects of spinal anesthesia wear off.

B. Ambulate the client as soon as she gets feelings back

Ambulating the patient too soon after spinal anesthesia is generally not recommended. Staying in bed initially helps prevent complications like spinal headaches.

C. Increase fluid intake

Adequate hydration is important after spinal anesthesia to help maintain cerebrospinal fluid volume. Increasing fluid intake can reduce the risk of developing a spinal headache.

D. Encourage the patient to stay flat in bed

Remaining in a flat or slightly elevated position helps minimize cerebrospinal fluid leakage from the puncture site, reducing the likelihood of developing a spinal headache. This position is typically recommended for a specific duration after spinal anesthesia.

E. Position the client in high Fowler's position

Placing the patient in high Fowler's position (sitting upright) may increase the risk of cerebrospinal fluid leakage, potentially leading to a spinal headache. This position is not recommended for preventing spinal headaches after spinal anesthesia.

A. "This medication may make my movements smoother." B. "My skin may turn yellow if I miss too many doses." C. "I need to take vitamin B6 supplements medication with this medication." D. “I should take this medicine on an empty stomach." E. I need to check my blood sugar regularly while taking this

Correct Answer is ["B","C","D","E"]

Explanation

A. "This medication may make my movements smoother."

This statement is correct. Carbidopa-levodopa is used to improve motor symptoms in parkinsonism, making movements smoother.

B. "My skin may turn yellow if I miss too many doses."

This statement is not accurate. Yellowing of the skin (jaundice) is not a known side effect of carbidopa-levodopa. This statement indicates a need for further clarification.

C. "I need to take vitamin B6 supplements with this medication."

This statement is incorrect. While vitamin B6 (pyridoxine) can reduce the effectiveness of levodopa, carbidopa is included in the formulation to prevent its peripheral conversion, allowing more levodopa to reach the brain. Vitamin B6 supplements are generally not recommended with carbidopa-levodopa.

D. "I should take this medicine on an empty stomach."

This statement is not accurate. Carbidopa-levodopa is typically taken with food to reduce gastrointestinal side effects. Taking it on an empty stomach may increase the risk of nausea.

E. "I need to check my blood sugar regularly while taking this."

This statement is not directly related to carbidopa-levodopa. Monitoring blood sugar is essential for individuals with diabetes but is not a specific requirement related to this medication.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient returns to the unit after having surgery with spinal anesthesia. What does the nurse know is/are the best action(s) to take to decrease the possibility of spinal headache? Select All That Apply

Correct Answer is ["C","D"]

Explanation

The nurse is teaching a client with parkinsonism about carbidopa-levodopa. Which statement(s) by the client indicate(s) the need for further teaching? Select All That Apply

Correct Answer is ["B","C","D","E"]

Explanation

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