A nurse is caring for a child who has influenza. The nurse should identify that which of the following statements by the parent indicates the child has an increased risk for Reye syndrome?

"I give my child ibuprofen when his muscles are aching."

"I am encouraging my child to drink grapefruit juice."

"I am leaving a humidifier on in my child's room when he naps."

"I give my child aspirin to reduce his fever."

Answer and Explanation

The Correct Answer is D

A.   Ibuprofen is not associated with Reye syndrome. It is a non-steroidal anti-inflammatory drug (NSAID) often used to relieve pain and reduce fever in children.

B.   Grapefruit juice does not increase the risk of Reye syndrome. However, it can interact with various medications, altering their effectiveness.
C.   Using a humidifier can help ease symptoms of influenza by keeping the air moist, and it does not increase the risk of Reye syndrome.
D.   This statement indicates an increased risk for Reye syndrome. Aspirin, or salicylate-containing medications, should be avoided in children and teenagers recovering from viral infections like influenza due to the associated risk of Reye syndrome.

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Correct Answer is A

Explanation

The apex of the heart (apical pulse) is the preferred site for assessing the heart rate in infants. It is located at the point of maximal impulse (PMI).

A. The father who had gastritis 2 weeks ago B. A sibling who had a sore throat 3 weeks ago C. A classmate who has fifth disease D. A neighbor's child who has chickenpox

Correct Answer is B

Explanation

A. Gastritis is inflammation of the stomach lining and is typically not caused by streptococcal infections. There is no direct link between gastritis and rheumatic fever.

B. Rheumatic fever is an inflammatory condition that develops as a complication of inadequately treated Group A Streptococcus (GAS) infections such as strep throat.
Therefore, a history of a sibling having a sore throat 3 weeks ago is significant because it suggests a possible streptococcal infection.
C. Fifth disease, caused by parvovirus B19, is a viral infection that primarily affects children. It is not caused by streptococcal bacteria and is not associated with the development of rheumatic fever.
D. Chickenpox, caused by the varicella-zoster virus, is a viral infection and does not predispose a child to rheumatic fever.

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A nurse is caring for a child who has influenza. The nurse should identify that which of the following statements by the parent indicates the child has an increased risk for Reye syndrome?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to measure an infant's vital signs. The nurse should use which of the following sites to assess a heart rate?

Correct Answer is A

Explanation

A nurse is caring for a child who has rheumatic fever. When obtaining the child's medical history from the parent, the nurse should recognize the significance of which of the following data as the possible source of the child's infection?

Correct Answer is B

Explanation

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