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A nurse is caring for a toddler who has a respiratory illness and a temperature of 39.3° C (102.7" F). Which of the following actions should the nurse take to reduce the toddler's temperature?

Give the toddler a tepid bath.

Administer an aspirin suppository.

Remove the toddler's extra clothing.

Apply a cooling blanket.

Answer and Explanation

The Correct Answer is C

Rationale:

A) A tepid bath may cause shivering, which can increase the temperature.

B) Aspirin is contraindicated in children due to the risk of Reye's syndrome.

C) Removing the toddler's extra clothing can help lower the body temperature by allowing heat to escape through the skin.

D) Cooling blankets are typically reserved for severe cases of hyperthermia and may not be appropriate or safe for use in a toddler with a moderately elevated temperature.

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Correct Answer is D

Explanation

Rationale:

A) Weight loss is not typically expected in heart failure; fluid retention and weight gain are more common.

B) A heart rate of 65/min may be within the normal range for a toddler and does not specifically indicate heart failure.

C) Bounding peripheral pulses are not typically associated with heart failure; weak pulses may be more indicative.

D) Decreased urine output can occur in heart failure due to reduced cardiac output and poor renal perfusion.

A. Install window guards on windows. B. Place scatter rugs over hardwood floors. C. Keep doors locked. D. Supervise at playgrounds. E. Turn pot handles toward the front of the stove.

Correct Answer is ["A","C","D"]

Explanation

Rationale:

A) Installing window guards on windows prevents falls and injuries.

B) Placing scatter rugs over hardwood floors increases the risk of tripping and falls.

C) Keeping doors locked prevents access to hazardous areas or materials.

D) Supervising at playgrounds ensures the toddler's safety during play.

E) Pot handles should be turned away from the front of the stove to prevent accidental spills and burns.

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A nurse is caring for a toddler who has a respiratory illness and a temperature of 39.3° C (102.7" F). Which of the following actions should the nurse take to reduce the toddler's temperature?

Nursing Test Bank

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