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A nurse is caring for a 2-year-old child who has pneumonia and a temperature of 39.4° C (103° F). Which of the following actions should the nurse take?

Give 500 mg acetaminophen PO every 2 hr.

Administer a 300-mg aspirin suppository.

Place the child in an ice bath.

Lower the temperature of the room.

Answer and Explanation

The Correct Answer is D

Choice A reason:

This is a high dose for a 2 year old child.

Choice B reason:

Aspirin is contraindicated for children with viral infections due to the risk of Reye's syndrome. It should not be administered.

Choice C reason:

Placing the child in an ice bath is an overly aggressive intervention and can lead to hypothermia. It is not recommended.

Choice D reason:

Lowering the temperature of the room is important in reducing external temperature to help cool the baby.

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Correct Answer is A

Explanation

Choice A reason:

Providing pain medication on a schedule is important for managing pain and ensuring the child's comfort, especially after a surgery involving peritonitis.

Choice B reason:

Contact isolation is not typically indicated for a child postoperative for appendicitis unless there is a specific infectious concern. It is not a routine intervention.

Choice C reason:

Offering clear liquids may be appropriate depending on the child's individual recovery and surgeon's orders. However, this should be determined on an individual basis and is not a standard postoperative intervention.

Choice D reason:

Maintaining strict bed rest may not be necessary for all children postoperative for appendicitis. Early mobilization and ambulation are often encouraged to promote recovery.

A. High protein, high calorie B. High fat, low protein C. Moderate protein, low calorie D. Low carbohydrate, high fat

Correct Answer is A

Explanation

Choice A reason:

Children with cystic fibrosis often have increased calorie needs due to the extra energy required to breathe and the malabsorption of nutrients. A diet that is high in both protein and calories

helps meet these increased energy needs.

Choice B reason:

While a higher fat intake may be beneficial for some children with cystic fibrosis, it should not be at the expense of protein intake, which is also crucial for growth and development.

Choice C reason:

A diet that is low in both protein and calories would not be appropriate for a child with cystic fibrosis, as it may not provide sufficient energy and nutrients to support growth and

development.

Choice D reason:

A diet that is low in carbohydrates and high in fat is not typically recommended for children with cystic fibrosis. They need a balanced diet that includes a variety of macronutrients to meet their

increased energy needs.

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A nurse is caring for a 2-year-old child who has pneumonia and a temperature of 39.4° C (103° F). Which of the following actions should the nurse take?

Nursing Test Bank

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