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 C

Explanation

A. The frequency of peak flow monitoring should be determined by the healthcare provider and vary depending on the severity of the asthma.

B. Encouraging physical activity is important for overall health, including for children with asthma. Specific sports depend on triggers

C. Identifying and avoiding triggers that can exacerbate asthma symptoms is an essential part of asthma management. By avoiding triggers whenever possible, the child can help prevent asthma attacks and maintain better control of their condition.

D. Cromolyn sodium is a mast cell stabilizer that can help prevent asthma symptoms when used regularly, but it is not typically used for immediate relief of symptoms at the first sign of breathing difficulty. Short-acting bronchodilators, such as albuterol, are usually recommended for quick relief of asthma symptoms.

A. A child recovering from a ruptured appendix B. A child who has cystic fibrosis C. A child who has rheumatic fever D. A child who has nephrotic syndrome

Correct Answer is D

Explanation

A child with nephrotic syndrome is not infectious and therefore, does not pose a significant risk of infection to the child

A child recovering from a ruptured appendix may still carry an infection posing a risk of life threatening infection to the child with leukemia.

Although rheumatic fever occurs several days after the active streptococcal infection starts, a child with rheumatic fever still poses a risk of infection to the child with leukemia.

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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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