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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A: Oliguria is a condition of reduced urine output, which can indicate dehydration, kidney failure, or urinary tract obstruction. It is not associated with a CNS infection, which affects the brain and spinal cord.
Choice B: A negative Brudzinski sign is a normal finding that indicates no meningeal irritation. It is elicited by flexing the neck of a supine patient and observing no involuntary flexion of the hips and knees. A positive Brudzinski sign, on the other hand, is a sign of meningitis, which is a type of CNS infection.
Choice C: A bulging fontanel is an abnormal finding that indicates increased intracranial pressure, which can be caused by a CNS infection, such as meningitis or encephalitis. A fontanel is a soft spot on the skull of an infant that allows for brain growth and development.
Choice D: Jaundice is a condition of yellowing of the skin and eyes, which can indicate liver disease, hemolytic anemia, or neonatal hyperbilirubinemia. It is not associated with a CNS infection, which affects the brain and spinal cord.
Correct Answer is C
Explanation
Choice A: Tremors are not a typical sign of hyperglycemia, which is a high blood glucose level. Tremors are more likely to occur in hypoglycemia, which is a low blood glucose level.
Choice B: Pallor is also not a typical sign of hyperglycemia. Pallor can indicate anemia, shock, or hypoxia, which are
not related to blood glucose levels.
Choice C: Lethargy is a common sign of hyperglycemia, as the body is unable to use glucose as an energy source. Lethargy can also lead to ketoacidosis, which is a life-threatening complication of hyperglycemia.
Choice D: Shallow respirations are not a sign of hyperglycemia, but rather a sign of respiratory distress or acidosis.
Shallow respirations can reduce the oxygen delivery to the tissues and worsen the condition of the child.
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