The nurse discusses management with the caregiver of a toddler with acute otitis media. Which statement indicates that the caregiver needs additional teaching?
I can give Children's Tylenol if my child is s
I can give Children's Ibuprofen if my child is in pain
My child should complete the entire course of antibiotics even if they seem better after a few days
I should give my toddler one baby aspirin for pain
The Correct Answer is D
A. Administering Children's Tylenol (acetaminophen) is appropriate for pain relief in toddlers and does not indicate a need for further teaching.
B. Children's Ibuprofen is also acceptable for pain management in this age group, demonstrating the caregiver's understanding of pain management options.
C. Completing the entire course of antibiotics is essential to ensure the infection is fully treated and helps prevent antibiotic resistance.
D. Baby aspirin is contraindicated in children due to the risk of Reye’s syndrome, indicating that the caregiver needs further teaching regarding safe medication administration for pain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. While monitoring temperature can be important, it is not the primary focus post-crisis unless there are specific concerns.
B. Cold compresses can constrict blood vessels and worsen sickling; heat is usually recommended for pain relief in sickle cell crisis.
C. Restricting outdoor play is not necessary; children with sickle cell anemia should be encouraged to engage in regular activities within their limits.
D. Offering fluids frequently helps prevent dehydration, which can trigger a sickle cell crisis, making it an essential part of discharge teaching.
Correct Answer is ["10"]
Explanation
To calculate the dosage of ondansetron for the child, first convert the child's weight from pounds to kilograms, knowing that 1 kilogram equals 2.2 pounds. The child weighs 44 lbs, which is equivalent to 20 kg (44 lbs / 2.2 lbs per kg). The prescribed dose is 0.5 mg/kg, so you would multiply the child's weight in kilograms by the dose: 20 kg * 0.5 mg/kg = 10 mg. Since the safe dose is up to 5 mg/kg per dose and the child's weight is 20 kg, the maximum safe dose would be 100 mg (20 kg * 5 mg/kg). Therefore, the nurse should administer 10 mg, as it is within the safe dose range.
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