A 6 year old child is diagnosed with the flu and the healthcare provider is preparing to prescribe an antipyretic medication. Which statement by the parent indicates an understanding of precautions to take when giving medication for fever reduction?
Provide the child with aspirin for fever as it can help with pain management also
When giving aspirin ensure that you do not exceed the dosage prescribed by the doctor.
Administer acetaminophen for fever relief instead of aspirin
Administer prescribed codeine for fever reduction as ordered by the doctor
The Correct Answer is C
A. Provide the child with aspirin for fever as it can help with pain management also: Aspirin use in children with viral illnesses such as influenza is associated with Reye’s syndrome, a rare but life-threatening condition causing acute encephalopathy and liver dysfunction.
B. When giving aspirin ensure that you do not exceed the dosage prescribed by the doctor: Even when dosed correctly, aspirin is contraindicated in children with viral infections due to the risk of Reye’s syndrome, so safe dosing does not eliminate the danger.
C. Administer acetaminophen for fever relief instead of aspirin: Acetaminophen is recommended for fever reduction in children because it effectively lowers temperature without the risk of Reye’s syndrome and is safe when given at appropriate doses.
D. Administer prescribed codeine for fever reduction as ordered by the doctor: Codeine is an opioid analgesic and is not indicated for fever management; in children, it poses risks of respiratory depression and unpredictable metabolism.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Slower onset and longer duration of a medication's action:A slower onset with prolonged effect is characteristic of oral or some subcutaneous medications, not intravenous administration. IV administration delivers the drug directly into the bloodstream, resulting in rapid onset.
B. Onset is moderate and can be used to space out medication frequency:Moderate onset applies to routes like intramuscular or subcutaneous injections. IV administration provides almost immediate therapeutic effects, so spacing doses for gradual onset is not relevant.
C. Route of administration is minimally invasive:IV administration is invasive, requiring cannulation of a vein, and carries risks such as infection or phlebitis. Minimal invasiveness is more applicable to oral or topical routes.
D. Onset is rapid, and absorption into the blood is immediate, which provides an immediate response:Medications administered intravenously bypass absorption barriers, entering directly into systemic circulation. This allows for rapid therapeutic effects, making IV administration ideal for emergencies or situations requiring immediate pharmacologic action.
Correct Answer is B
Explanation
A. Complete blood count with platelet count:Valproic acid can rarely cause thrombocytopenia, but yellowing of the eyes and skin (jaundice) indicates a potential liver issue rather than a blood cell abnormality. CBC is not the first priority here.
B. Liver function tests:Jaundice suggests hepatotoxicity, a known serious adverse effect of valproic acid. Liver function tests (AST, ALT, bilirubin) are essential to assess liver injury and guide whether the medication should be discontinued or adjusted.
C. Serum sodium level:Serum sodium is not related to the symptoms of jaundice. While valproic acid does not typically affect sodium levels, hyponatremia would not explain yellowing of the skin or eyes.
D. Blood glucose level:Blood glucose monitoring is unrelated to valproic acid-induced jaundice. Hyperglycemia or hypoglycemia would not present with yellowing of the skin or eyes.
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