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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 B

Explanation

Rationale:

A) Feeling relaxed is not typically an adverse effect of albuterol, but rather a desired bronchodilator effect.

B) Palpitations or a fluttering sensation in the heart can be an adverse effect of albuterol due to its stimulant properties on the cardiovascular system.

C) Forgetfulness is not a common adverse effect of albuterol.

D) Constipation is not a common adverse effect of albuterol.

A. "I will take my child's rectal temperature daily to ensure the most accurate reading." B. "I will make sure my child receives the MMR vaccine by the end of the week." C. "I will take my child to the park to ride her new bike." D. "I will inspect the inside of my child's mouth for sores every day."

Correct Answer is D

Explanation

Rationale:

A) Taking rectal temperatures may increase the risk of infection and is not typically recommended during chemotherapy.

B) Live vaccines such as MMR are generally contraindicated during chemotherapy due to the risk of vaccine-related complications in immunocompromised individuals.

C) Going to the park may expose the child to environmental pathogens and is not recommended during chemotherapy.

D) Inspecting the inside of the child's mouth for sores is important for early detection of oral mucositis, a common side effect of chemotherapy that can increase the risk of infection.

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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

Naxlex Comprehensive Predictor Exams

A nurse is assisting with care for an adolescent client who has asthma and a new prescription for albuterol by metered-dose inhaler. Which of the following statements by the client indicates that they might be experiencing an adverse effect of albuterol?

Correct Answer is B

Explanation

A nurse is reinforcing discharge teaching about preventing infections with the parent of a child who is receiving chemotherapy and has a platelet count of 100,000/mm3. Which of the following statements by the parent indicates an understanding of the teaching?

Correct Answer is D

Explanation

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