A nurse is preparing to administer required immunizations to a toddler during a well-child visit. The parent asks the nurse how many baby aspirins he should administer if the toddler develops a fever. Which of the following responses should the nurse make?

"You should follow the label directions based on your child's weight."

"You should avoid administering aspirin to your child."

"Your child will require an antibiotic if she develops a fever."

"Your child can have two baby aspirins every 4 hours."

Answer and Explanation

The Correct Answer is B

A. "You should follow the label directions based on your child's weight.": While dosing medications based on weight is generally appropriate, aspirin is not recommended for children or adolescents due to the risk of Reye’s syndrome, a rare but serious condition affecting the liver and brain after viral infections.

B. "You should avoid administering aspirin to your child.": This is the safest and most accurate response. Aspirin should not be given to children under 18, particularly following viral illnesses or immunizations, because of the association with Reye’s syndrome. Acetaminophen or ibuprofen are preferred for fever management in toddlers.

C. "Your child will require an antibiotic if she develops a fever.": Fever after immunization is usually a benign, self-limited response. Antibiotics are not indicated unless there is evidence of a bacterial infection. Providing this information could cause unnecessary concern or inappropriate antibiotic use.

D. "Your child can have two baby aspirins every 4 hours.": Recommending aspirin in a toddler is unsafe due to the risk of Reye’s syndrome. Providing a specific dose encourages potentially harmful practice and is contraindicated in pediatric care.

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Correct Answer is C

Explanation

A. "I can have mustard on my sandwiches.": Mustard is high in sodium and can contribute significantly to daily sodium intake, which is contraindicated for clients with cardiomyopathy who need to limit sodium to reduce fluid retention and cardiac workload.

B. "I can season foods with celery salt.": Celery salt contains sodium and is not an appropriate seasoning for clients on a low-sodium diet. Using it can exacerbate fluid retention, hypertension, and worsening heart failure symptoms.

C. "I can eat frozen juice bar for dessert.": Many frozen juice bars are low in sodium and suitable for a heart-healthy, low-sodium diet. Choosing these types of snacks helps the client manage fluid balance and cardiac workload effectively.

D. "I can drink vegetable juice with my meals.": Most commercial vegetable juices are very high in sodium, making them inappropriate for clients who need to restrict sodium intake. Consuming these can lead to fluid retention and increased cardiac strain.

A. Terbutaline B. Methylergonovine C. Magnesium sulfate D. Nifedipine

Correct Answer is B

Explanation

A. Terbutaline: Terbutaline is a beta-agonist used to relax the uterus in cases of preterm labor or to manage uterine hyperstimulation, which would worsen postpartum bleeding. It is contraindicated in postpartum hemorrhage because it inhibits uterine contractions needed to control bleeding.

B. Methylergonovine: Methylergonovine is a uterotonic medication that stimulates sustained uterine contractions, promoting uterine tone and helping to control postpartum hemorrhage. It is used when hemorrhage results from uterine atony and is contraindicated in clients with hypertension or preeclampsia due to vasoconstrictive effects.

C. Magnesium sulfate: Magnesium sulfate is used primarily for seizure prophylaxis in preeclampsia and for tocolysis in preterm labor. It relaxes smooth muscle, including the uterus, which would exacerbate postpartum bleeding rather than treat it.

D. Nifedipine: Nifedipine is a calcium channel blocker used as a tocolytic to inhibit preterm labor. It decreases uterine contractions and is therefore inappropriate for managing postpartum hemorrhage, as it would reduce uterine tone and increase bleeding risk.

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A nurse is preparing to administer required immunizations to a toddler during a well-child visit. The parent asks the nurse how many baby aspirins he should administer if the toddler develops a fever. Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing discharge teaching about limiting sodium intake with a client who has a new diagnosis of cardiomyopathy. Which of the following client responses indicates an understanding of the teaching?

Correct Answer is C

Explanation

A nurse is assisting in the care of a client who is experiencing a postpartum hemorrhage. Which of the following medications should the nurse plan to administer?

Correct Answer is B

Explanation

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