A father presents to the emergency department with his 4 year old son. The father explains that his son had a fever, so he gave the child baby aspirin to decrease the fever and it has not worked. What should concern the nurse about a 4 year old receiving aspirin?

Aspirin has the potential to cause gastrointestinal (GI) bleeding in children

Aspirin has the potential to cause hyperglycemia

Aspirin has the potential to cause ringing in the ears in children

Aspirin has the potential to cause Reye's syndrome in children.

Answer and Explanation

The Correct Answer is D

A. Aspirin has the potential to cause gastrointestinal (GI) bleeding in children.

While it is true that aspirin can cause GI bleeding, this is not the primary concern in this scenario. Reye's syndrome, a severe and potentially fatal condition, is the more significant worry when aspirin is given to children with viral infections.

B. Aspirin has the potential to cause hyperglycemia.

Hyperglycemia (high blood sugar) is not a known effect of aspirin in children. Aspirin is not typically associated with glucose metabolism issues.

C. Aspirin has the potential to cause ringing in the ears (tinnitus) in children.

Tinnitus can occur with aspirin use, but it is not the primary concern in this situation. Reye's syndrome is a more serious and immediate risk associated with aspirin use in children with viral infections.

D. Aspirin has the potential to cause Reye's syndrome in children.

This is the correct and most significant concern. Reye's syndrome is a rare but severe condition associated with aspirin use in children during or after viral infections. It affects the liver and brain and can be life-threatening.

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Correct Answer is B

Explanation

A. "Continue taking OCPS because phenytoin is not safe during pregnancy."

This statement is not accurate. While it's essential to address pregnancy risk, phenytoin can reduce the effectiveness of oral contraceptives. Women on phenytoin are often advised to use additional contraceptive measures.

B. "You should use a backup method of contraception along with OCPs."

This is the correct response. Phenytoin can accelerate the metabolism of oral contraceptives, potentially reducing their effectiveness. Using a backup method, such as condoms, is recommended to ensure adequate contraception.

C. "You should stop taking OCPs because of drug-drug interactions with phenytoin."

This advice is generally not recommended without consulting the healthcare provider. Abruptly stopping OCPs without an alternative form of contraception can increase the risk of unintended pregnancy.

D. "You should take low-dose aspirin while taking these medications to reduce your risk of stroke."

This statement is not relevant to the situation described. Low-dose aspirin is not typically recommended for contraception, and its use in this context does not address the potential interaction between phenytoin and oral contraceptives.

A. Hypertension B. Anemia C. Allergy to penicillin D. Appendicitis.

Correct Answer is D

Explanation

A. Hypertension
Hypertension is not a specific concern related to the use of bisacodyl. Bisacodyl is a laxative, and high blood pressure is not typically considered a contraindication for its use.

B. Anemia
Anemia is not a specific concern related to the use of bisacodyl. The primary focus before administering bisacodyl is to assess for signs or symptoms of appendicitis, as its use is contraindicated in cases of suspected appendicitis.

C. Allergy to penicillin
Allergy to penicillin is not relevant in the context of administering bisacodyl. These are unrelated medications with different mechanisms of action, and allergy to penicillin does not impact the administration of bisacodyl.

D. Appendicitis
This is the correct choice. Before administering bisacodyl, it is crucial to assess the patient for signs or symptoms of appendicitis. The use of bisacodyl is contraindicated in cases of suspected appendicitis, as it may stimulate bowel activity and worsen the condition.

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A father presents to the emergency department with his 4 year old son. The father explains that his son had a fever, so he gave the child baby aspirin to decrease the fever and it has not worked. What should concern the nurse about a 4 year old receiving aspirin?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 25 year-old female patient will begin taking phenytoin for epilepsy. The patient tells the nurse she is taking oral contraceptives (OCPs). Which response will the nurse give?

Correct Answer is B

Explanation

A patient is ordered bisacodyl (Dulcolax). Before administering the drug, it is most important for the nurse to assess the patient for what?

Correct Answer is D

Explanation

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