A 3 year old child with upper respiratory infection and low-grade fever is being treated with Acetominophen. The nurse is reviewing important anticipatory guidance with the parents which statement by the parents indicates the need for further teaching about this medication?

I can give this medication every 2 hrs for fever

I can give up to 4000 mg each day by mouth if my child is irritable

I can give this medication rectally if my child has a fever and is having vomiting

I will notify the provider notice that the whites of my child's eyes are yellow

Answer and Explanation

The Correct Answer is B

A. Acetaminophen can be given every 4 to 6 hours, but every 2 hours is too frequent and indicates a need for further teaching.

B. The maximum daily dose for a child should be based on their weight and typically should not exceed 75 mg/kg/day; stating 4000 mg is too high for a child, indicating a misunderstanding of dosing.

C. Administering acetaminophen rectally is appropriate if the child cannot take it orally, particularly during vomiting episodes.

D. Notifying the provider about jaundice is critical, as it may indicate liver dysfunction, which is important when using acetaminophen.

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Correct Answer is A

Explanation

A. An oral rehydration solution is specifically designed to replace lost fluids and electrolytes, making it the best choice for children recovering from gastroenteritis.

B. Water alone does not provide the necessary electrolytes and may not effectively rehydrate the child.

C. Broth can provide some hydration but lacks the specific electrolyte balance found in oral rehydration solutions.

D. Diluted apple juice is not as effective for rehydration as a balanced oral rehydration solution, which is specifically formulated for this purpose.

A. Encourage frequent fluids by mouth B. Encourage frequent voiding C. Wipe perineal area front to back D. Wear nylon underwear E. Complete the course of prescribed antibiotics

Correct Answer is ["A","B","C","E"]

Explanation

A. Encouraging frequent fluid intake helps to dilute the urine and promotes urination, which can help flush out bacteria.

B. Frequent voiding is essential to reduce the risk of bacterial growth in the bladder and to alleviate symptoms.

C. Wiping from front to back is important in preventing the spread of bacteria from the rectal area to the urethra, thereby reducing the risk of UTIs.

D. Wearing nylon underwear may trap moisture and create an environment conducive to bacterial growth; cotton underwear is preferred.

E. Completing the course of antibiotics is crucial for fully eradicating the infection and preventing recurrence.

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A 3 year old child with upper respiratory infection and low-grade fever is being treated with Acetominophen. The nurse is reviewing important anticipatory guidance with the parents which statement by the parents indicates the need for further teaching about this medication?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who has acute gastroenteritis but is able to tolerate oral fluids. The nurse should anticipate providing which of the following types of fluid?

Correct Answer is A

Explanation

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Correct Answer is ["A","B","C","E"]

Explanation

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A 3 year old child with upper respiratory infection and low-grade fever is being treated with Acetominophen. The nurse is reviewing important anticipatory guidance with the parents which statement by the parents indicates the need for further teaching about this medication?

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