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

Nephrotic syndrome is a renal condition characterized by increased permeability of the glomerular filtration barrier, leading to excessive protein loss in the urine. Cardinal features include : (proteinuria), hypoalbuminemia, edema, and hyperlipidemia.

B. Hypertension: While hypertension can occur in some cases of nephrotic syndrome, it is not a consistent finding.
C. Smokey brown urine: Smokey brown urine can be a sign of rhabdomyolysis or hemolysis, not nephrotic syndrome. In nephrotic syndrome, urine may appear foamy due to proteinuria
D. Polyuria: Polyuria is not a typical finding in nephrotic syndrome. Nephrotic syndrome is more commonly associated with oliguria (decreased urine output) due to decreased blood volume and activation of the renin-angiotensin-aldosterone system.

A. Irritability B. Facial edema C. Poor appetite D. Yellow nasal discharge

Correct Answer is B

Explanation

A. Irritability is a common response in toddlers to illness or discomfort. Nephrotic syndrome is mainly painless
B. Facial edema is a characteristic symptom of nephrotic syndrome due to fluid retention and should be reported, as it may require management of the underlying condition or adjustment of treatment.
C. Poor appetite can be a symptom of nephrotic syndrome but not specific to it.
D. Yellow nasal discharge can indicate an infection such as a common cold, but not specific to nephrotic syndrome.

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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

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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