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: Hepatitis B (HepB) vaccine is not contraindicated for a child who has an allergy to eggs, as it does not contain any egg protein or other components that can cause an allergic reaction. Hep B vaccine is recommended for all infants at birth and children up to 18 years of age.
Choice B: Inactivated poliovirus (IPV) vaccine is not contraindicated for a child who has an allergy to eggs, as it does not contain any egg protein or other components that can cause an allergic reaction. IPV vaccine is recommended for all children at ages 2, 4, and 6 to 18 months and at ages 4 to 6 years.
Choice C: Influenza, live attenuated (LAIV) vaccine is contraindicated for a child who has an allergy to eggs, as it contains egg protein that can cause an allergic reaction. LAIV vaccine is a nasal spray that contains live but weakened influenza viruses. LAIV vaccine is recommended for healthy children aged 2 years and older who do not have chronic medical conditions or other contraindications.
Choice D: Haemophilus influenzae type b (Hib) vaccine is not contraindicated for a child who has an allergy to eggs, as it does not contain any egg protein or other components that can cause an allergic reaction. Hib vaccine is recommended for all children at ages 2, 4, and 6 months and at ages 12 to 15 months.
Correct Answer is A
Explanation
Choice A: This instruction is correct, as iron supplements can cause a change in the color and consistency of stools, making them dark, green, or black. This is not a sign of bleeding or infection, but a normal side effect of iron therapy. The parents should be informed of this possibility and reassured that it is harmless.
Choice B: This instruction is incorrect, as iron supplements should not be administered at bedtime, but rather one hour before or two hours after meals. This is because iron absorption is reduced by food, especially dairy products, antacids, or calcium supplements. The parents should be instructed to give the medication on an empty stomach or with a small amount of food if it causes nausea.
Choice C: This instruction is incorrect, as iron supplements should not be given with milk, as milk contains calcium, which can interfere with iron absorption and reduce its effectiveness. The parents should be instructed to avoid giving milk or other dairy products within two hours of the medication.
Choice D: This instruction is incorrect, as iron supplements should not be administered at mealtimes, but rather one hour before or two hours after meals. This is because iron absorption is reduced by food, especially dairy products, antacids, or calcium supplements. The parents should be instructed to give the medication on an empty stomach or with a small amount of food if it causes nausea.
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