The nurse is planning to teach parents about prevention of Reye's syndrome. What information would the nurse include in this teaching?

Get the child tested for Reye's syndrome if the child exhibits fever, vomiting, and lethargy.

Use aspirin instead of acetaminophen for children with viral illness.

Avoid giving salicylate-containing medications to a child who has viral symptoms.

Advise parents to have their children immunized against Reye's syndrome.

Answer and Explanation

The Correct Answer is C

C. Salicylates, such as aspirin, should be avoided in children and adolescents with viral symptoms due to the association with Reye's syndrome. Instead, acetaminophen or other non-steroidal anti-inflammatory drugs (NSAIDs) without salicylates should be used for fever and pain relief.

A. Reye's syndrome typically presents with symptoms such as fever, vomiting, and lethargy. However, there isn't a specific test for Reye's syndrome itself. Diagnosis is often based on clinical symptoms, history of aspirin use, and laboratory findings.

B. Reye's syndrome is associated with the use of aspirin (salicylates) in children and adolescents with viral infections, particularly influenza and chickenpox. Acetaminophen (Tylenol) is recommended instead of aspirin for fever and pain relief in children with viral illnesses.

D. There isn't a specific vaccine for Reye's syndrome. Reye's syndrome is not caused by an infectious agent that can be prevented through vaccination.

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Correct Answer is A

Explanation

A. Prompt initiation of appropriate antibiotics is essential to prevent the spread of infection, alleviate symptoms, and promote healing.

B. Surgical debridement of necrotic tissue is often necessary for treating acute osteomyelitis, especially if there is extensive tissue damage or the formation of abscesses. Surgical intervention aims to remove infected and dead tissue, reduce bacterial load, and promote wound healing.

C. Antipyretic therapy, such as acetaminophen or ibuprofen, may be administered to reduce fever and alleviate associated symptoms in clients with acute osteomyelitis. While fever management is important for comfort and overall well-being, it may not be the immediate priority unless the fever is high or causing significant distress.

D. Adequate nutrition and hydration support immune function, tissue repair, and overall recovery. However, while important for long-term management, optimizing nutrition and hydration may not be the immediate priority unless the client is severely malnourished or dehydrated.

A. A sibling had a sore throat 3 weeks ago. B. A neighbor's child has chickenpox. C. A classmate has fifth disease. D. The father had gastritis 2 weeks ago.

Correct Answer is A

Explanation

A. Rheumatic fever often develops as a complication of untreated or inadequately treated streptococcal throat infections, particularly group A Streptococcus. A history of a recent sore throat in a family member could suggest a streptococcal infection, which is a risk factor for developing rheumatic fever.

B. Chickenpox is caused by the varicella-zoster virus and is not directly related to rheumatic fever. While viral infections can trigger or exacerbate rheumatic fever in susceptible individuals, chickenpox itself is not a significant risk factor for rheumatic fever.

C. Fifth disease, also known as erythema infectiosum, is caused by parvovirus B19 and is not associated with rheumatic fever. Fifth disease primarily affects the skin, causing a characteristic rash, and is typically a mild illness in children.

D. Gastritis, inflammation of the stomach lining, is not directly related to rheumatic fever. While some gastrointestinal conditions may be associated with autoimmune disorders, gastritis itself is not a known risk factor for rheumatic fever.

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The nurse is planning to teach parents about prevention of Reye's syndrome. What information would the nurse include in this teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the care of a newly-admitted client who has acute osteomyelitis. Which of the following interventions is the priority for the nurse to implement?

Correct Answer is A

Explanation

A nurse is caring for a child who has rheumatic fever. When obtaining the client's medical history from the parent, the nurse should recognize which of the following findings as significant?

Correct Answer is A

Explanation

The nurse employed in an emergency department is instructed to monitor a child diagnosed with epiglottitis. The nurse notes that the child is leaning forward with the chin thrust out. The nurse interprets this observation as indicating which finding?

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A nurse is preparing a 4-year-old child for discharge following a bilateral myringotomy with tympanostomy tube placement. The mother asks what to do if the tubes fall out. The nurse should give the parent which of the following instructions?

Which of the following interventions are appropriate for nursing care of a child with bronchiolitis? (Select All that Apply.)

A nurse is collecting data from an infant who has coarctation of the aorta. Which of the following manifestations should the nurse expect?

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Which assessment finding would indicate a potential adverse effect of digoxin in a child?

A nurse is caring for a preschool-aged child who presents with manifestations of epiglottitis. Which of the following actions is the nurse's priority to perform?