A nurse is caring for a child who has inﬂuenza. The nurse should identify 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

Choice A: Ibuprofen is a nonsteroidal anti-inﬂammatory drug (NSAID) that can be used to relieve pain and inﬂammation in children with inﬂuenza. Ibuprofen does not increase the risk of Reye syndrome, which is a rare but serious condition that affects the brain and liver.

Choice B: Grapefruit juice is a citrus fruit that can provide vitamin C and hydration for children with inﬂuenza. Grapefruit juice does not increase the risk of Reye syndrome, but it can interact with some medications and affect their absorption or metabolism.

Choice C: A humidifier is a device that adds moisture to the air and can help ease congestion and coughing in children with inﬂuenza. A humidifier does not increase the risk of Reye syndrome, but it should be cleaned regularly to prevent bacterial growth and infection.

Choice D: Aspirin is a salicylate that can be used to reduce fever and inﬂammation in children with inﬂuenza. However, aspirin can increase the risk of Reye syndrome, especially in children who have viral infections. Reye syndrome can cause swelling in the brain, liver damage, and even death. Therefore, aspirin should be avoided in children under 19 years old who have inﬂuenza or other viral illnesses.

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Correct Answer is A

Explanation

Choice A: Applying heat to a bleeding site can increase blood flow and worsen the bleeding. This statement indicates a need for further teaching, as the parent should avoid applying heat and use cold compresses instead.

Choice B: Having the child rest can reduce physical activity and prevent further injury or bleeding. This statement indicates that the parent understands the teaching, as resting is one of the recommended actions for controlling a minor bleeding episode.

Choice C: Compressing the site can apply pressure and stop the bleeding. This statement indicates that the parent understands the teaching, as compressing is one of the recommended actions for controlling a minor bleeding episode.

Choice D: Elevating the aﬀected part can reduce blood pressure and slow down the bleeding. This statement indicates that the parent understands the teaching, as elevating is one of the recommended actions for controlling a minor bleeding episode.

A. Restrain the child's arms. B. Use a padded tongue blade. C. Attempt to stop the seizure. D. Position the child laterally.

Correct Answer is D

Explanation

Choice A: Restraining the child's arms is not an appropriate action for a nurse to take when caring for a child who is experiencing a seizure, as this can cause injury to the child or the nurse. Restraining the child's arms can also increase the child's anxiety and agitation, which can worsen the seizure.

Choice B: Using a padded tongue blade is not an appropriate action for a nurse to take when caring for a child who is experiencing a seizure, as this can cause injury to the child's mouth, teeth, or tongue. Using a padded tongue blade can also increase the risk of choking or aspiration, which can compromise the child's airway.

Choice C: Attempting to stop the seizure is not an appropriate action for a nurse to take when caring for a child who is experiencing a seizure, as this can be ineﬀective or harmful. Attempting to stop the seizure can also interfere with the natural course of the seizure, which may be necessary for the brain to recover.

Choice D: Positioning the child laterally is an appropriate action for a nurse to take when caring for a child who is experiencing a seizure, as this can help maintain the child's airway and prevent aspiration. Positioning the child laterally means placing the child on their side with their head tilted slightly forward and their mouth open.

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A nurse is caring for a child who has inﬂuenza. The nurse should identify 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 D

Explanation

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