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 D

Explanation

A. Constipation can occur but is not a direct symptom of sickle cell crisis; it’s more related to hydration and diet.

B. High fever may occur due to infection, but it is not a guaranteed finding in every sickle cell crisis.

C. Bradycardia is not typically associated with sickle cell crisis; tachycardia is more common due to pain and stress.

D. Pain is the hallmark symptom of a sickle cell crisis due to vaso-occlusive episodes leading to ischemia and tissue damage.

A. Back pain B. Frequent nosebleeds C. Itching of skin D. Feelings of isolation and depression

Correct Answer is D

Explanation

A. Back pain may occur but is not typically urgent unless severe; it’s important to monitor but not the priority.

B. Frequent nosebleeds can occur due to dry mucous membranes but are not the most critical symptom to report immediately.

C. Itching of the skin can be managed with moisturizers and does not represent a medical emergency.

D. Feelings of isolation and depression are serious side effects associated with isotretinoin and should be reported immediately due to the risk of self-harm or suicidal thoughts.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a child who is in sickle cell crisis. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

A nurse is providing teaching to a 17-year-old female client who has severe acne about the use of isotretinoin. Which of the following adverse effects should the nurse instruct the client is the priority to report immediately to the provider?

Correct Answer is D

Explanation

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