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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Raising the head of the bed may help with respiratory effort but does not address the underlying issue of decreased responsiveness. Immediate assessment and intervention are necessary.

B. Notifying the healthcare provider is critical as the child’s decreased responsiveness and respiratory rate indicate a potential deterioration in condition that requires prompt medical evaluation.

C. While obtaining an oximeter reading can provide useful information about oxygenation, the priority is to notify the HCP about the change in the child's neurological status.

D. Implementing seizure precautions is important for a child with a brain tumor, but the immediate concern is the change in responsiveness, necessitating HCP notification first.

A. "You'll have to ask your doctor." B. "This test will tell if you have severe renal impairment or a disease." C. "We'll find out if any medications, such as steroids, are interfering with your kidney function D. "This test will tell your doctor how your kidneys are functioning."

Correct Answer is D

Explanation

A. Deflecting the question to the doctor does not provide the patient with helpful information and shows a lack of communication.

B. While the test can indicate renal impairment, it is more accurate to say it assesses overall kidney function rather than confirming a specific disease.

C. Although medications can affect kidney function, the serum creatinine level is not specifically for evaluating medication interference.

D. The serum creatinine test is a standard measure of kidney function, indicating how well the kidneys are filtering waste from the blood.

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The nurse discusses management with the caregiver of a toddler with acute otitis media. Which statement indicates that the caregiver needs additional teaching?

Nursing Test Bank

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