A nurse is preparing to administer required immunizations to a toddler during a well-child visit. The parent asks the nurse how many baby aspirins he should administer if the toddler develops a fever.
Which of the following responses should the nurse make?
"You should follow the label directions based on your child's weight."
"You should avoid administering aspirin to your child."
"Your child will require an antibiotic if she develops a fever."
"Your child can have two baby aspirins every 4 hours."
The Correct Answer is B
A. "You should follow the label directions based on your child's weight." While dosing according to weight is a common practice for many medications, it's essential to emphasize the importance of avoiding aspirin in children due to the risk of Reye's syndrome, a rare but serious condition associated with aspirin use in viral illnesses.
B. "You should avoid administering aspirin to your child." This response is correct because the use of aspirin in children, especially during viral infections, can increase the risk of Reye's syndrome, a severe condition that affects the brain and liver.
C. "Your child will require an antibiotic if she develops a fever." Antibiotics are not typically
indicated for fever unless the fever is caused by a bacterial infection. It's important to address the parent's question about managing fever specifically.
D. "Your child can have two baby aspirins every 4 hours." This response is incorrect and potentially harmful. Aspirin should not be given to children due to the risk of Reye's syndrome.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","E","F"]
Explanation
A. Chest x-ray: Essential for visualizing the heart and lungs, which is critical in a patient with symptoms of heart failure and respiratory issues.
B. Basic metabolic profile (BMP): Important to assess electrolytes, renal function, and glucose levels, especially given the patient's history of diabetes and hypertension.
C. 12-lead ECG: Necessary for evaluating heart rhythm, rate, and to look for any ischemic changes, especially since the patient is experiencing tachycardia.
D. Doppler studies of lower extremities: While useful for assessing peripheral vascular disease, it is not as immediately relevant as the other tests for a direct diagnosis of heart failure.
E. Brain natriuretic peptide (BNP) level: A key diagnostic test for heart failure as elevated levels are indicative of cardiac stress.
F. Echocardiogram: Provides critical information on heart function and structure, which is essential for diagnosing and managing heart failure.
Correct Answer is D
Explanation
A. Heart rate elevation could indicate pain, but it's an objective sign rather than subjective. Pain should be assessed based on the client's self-report.
B. Guarding the abdominal incision is an objective sign of pain and discomfort but does not reflect the client's perception of pain.
C. Facial grimacing is an objective sign of pain but may not always correlate with the client's perception of pain.
D. The client's report of pain is a subjective indication that they are experiencing discomfort and need PRN pain medication. It is essential to address the client's self-reported pain to provide adequate relief and promote comfort and recovery.
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