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."
The Correct Answer is B
A. "You should follow the label directions based on your child's weight." While dosing according to weight is a common practice for many medications, it's essential to emphasize the importance of avoiding aspirin in children due to the risk of Reye's syndrome, a rare but serious condition associated with aspirin use in viral illnesses.
B. "You should avoid administering aspirin to your child." This response is correct because the use of aspirin in children, especially during viral infections, can increase the risk of Reye's syndrome, a severe condition that affects the brain and liver.
C. "Your child will require an antibiotic if she develops a fever." Antibiotics are not typically
indicated for fever unless the fever is caused by a bacterial infection. It's important to address the parent's question about managing fever specifically.
D. "Your child can have two baby aspirins every 4 hours." This response is incorrect and potentially harmful. Aspirin should not be given to children due to the risk of Reye's syndrome.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
-A. Incorrect. Flexing the client's affected hip to 120 degrees may be part of postoperative care but does not necessarily demonstrate cost-effective care.
B. Incorrect. Adducting the client's affected leg may be part of postoperative care but does not necessarily demonstrate cost-effective care.
C. Correct. Checking the neurovascular status of the client's lower extremities every 6 hours is a standard nursing intervention following total hip arthroplasty. This action is essential for monitoring the client's circulation and nerve function, ensuring early detection of complications such as deep vein thrombosis or nerve damage, which can help prevent further complications and reduce healthcare costs.
D. Incorrect. Applying a sequential compression device to the client's lower extremities may be part of postoperative care to prevent deep vein thrombosis but does not necessarily demonstrate cost-effective care.
Correct Answer is C
Explanation
A. General anesthesia is not typically used for thoracentesis, which is a minimally invasive procedure performed under local anesthesia.
B. While it's important for the client to remain still during the procedure, lying flat for 6 hours following thoracentesis is unnecessary and may increase the risk of complications such as discomfort or respiratory compromise.
C. Having a chest x-ray following the procedure is essential to assess for any complications such as pneumothorax or hemothorax, and to ensure proper lung re-expansion.
D. During thoracentesis, the client is typically instructed to remain still and breathe normally.
Deep breathing through the nose is not specifically indicated during the procedure.
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