A nurse is caring for a toddler who has a respiratory illness and a temperature of 39.3° C (102.7" F). Which of the following actions should the nurse take to reduce the toddler's temperature?
Give the toddler a tepid bath.
Administer an aspirin suppository.
Remove the toddler's extra clothing.
Apply a cooling blanket.
The Correct Answer is C
Rationale:
A) A tepid bath may cause shivering, which can increase the temperature.
B) Aspirin is contraindicated in children due to the risk of Reye's syndrome.
C) Removing the toddler's extra clothing can help lower the body temperature by allowing heat to escape through the skin.
D) Cooling blankets are typically reserved for severe cases of hyperthermia and may not be appropriate or safe for use in a toddler with a moderately elevated temperature.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A) Offering a pacifier can help soothe a fussy baby with colic.
B) Offering water in between feedings is not recommended for infants, especially at 1 month old, as it can interfere with proper feeding and increase the risk of water intoxication.
C) Placing a warm heating pad on the baby's abdomen is not recommended without specific guidance from a healthcare provider and can pose a risk of burns.
D) Allowing the baby to cry for 5 minutes before responding is not recommended for infants, as it can lead to increased stress and distress.
Correct Answer is C
Explanation
Rationale:
A) Rubbing betadine on the infant's incisions is not typically done after surgical repair of a cleft lip and palate, as it can cause irritation and delay wound healing.
B) Placing the infant in a prone position for an extended period is not recommended after cleft lip and palate repair surgery, as it may increase the risk of airway obstruction and compromise wound healing.
C) Weighing the infant daily using the same scale helps monitor for changes in fluid status and overall health status following surgery.
D) Suctioning the infant's nose and mouth may be necessary to maintain airway patency, but it should be done judiciously to avoid trauma to the surgical site.
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