The nurse is planning to teach parents about prevention of Reye's syndrome. What information would the nurse include in this teaching?

Get the child tested for Reye's syndrome if the child exhibits fever, vomiting, and lethargy.

Use aspirin instead of acetaminophen for children with viral illness.

Avoid giving salicylate-containing medications to a child who has viral symptoms.

Advise parents to have their children immunized against Reye's syndrome.

Answer and Explanation

The Correct Answer is C

C. Salicylates, such as aspirin, should be avoided in children and adolescents with viral symptoms due to the association with Reye's syndrome. Instead, acetaminophen or other non-steroidal anti-inflammatory drugs (NSAIDs) without salicylates should be used for fever and pain relief.

A. Reye's syndrome typically presents with symptoms such as fever, vomiting, and lethargy. However, there isn't a specific test for Reye's syndrome itself. Diagnosis is often based on clinical symptoms, history of aspirin use, and laboratory findings.

B. Reye's syndrome is associated with the use of aspirin (salicylates) in children and adolescents with viral infections, particularly influenza and chickenpox. Acetaminophen (Tylenol) is recommended instead of aspirin for fever and pain relief in children with viral illnesses.

D. There isn't a specific vaccine for Reye's syndrome. Reye's syndrome is not caused by an infectious agent that can be prevented through vaccination.

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Correct Answer is D

Explanation

D. Suctioning equipment and oxygen are essential items to have at the bedside for seizure precautions. Seizures can sometimes be associated with airway compromise, excessive secretions, or respiratory distress. Having suctioning equipment readily available allows for prompt removal of oral or airway secretions if necessary. Oxygen may be needed to support oxygenation during or after a seizure, especially if there are concerns about respiratory depression or hypoxemia.

A. A tracheotomy set is not typically needed at the bedside for seizure precautions. Tracheotomy sets are used in emergency situations to establish a surgical airway if there is a severe airway obstruction or respiratory distress.

B. An emergency cart contains essential supplies and medications needed for emergency situations, including resuscitation equipment, medications, and supplies for managing various medical emergencies. However, the cart is not placed bedside.

C. A padded tongue blade is not typically needed at the bedside for seizure precautions. Tongue blades are sometimes used during airway management to help visualize and manipulate the tongue, but padded tongue blades are not routinely included in seizure precautions.

A. Apply antibiotic ointment to the pin sites daily. B. Ensure the rope knots are away from the pulleys. C. Ensure the child's feet are against the footboard. D. Reduce the child's fluid intake.

Correct Answer is B

Explanation

The nurse should ensure that the rope knots are positioned away from the pulleys to prevent interference with the traction mechanism. Proper alignment of the rope and pulleys ensures smooth traction application and prevents accidental slippage or dislodgment of the traction weights.

A. Buck's traction typically does not involve pin sites. It involves the application of traction to the affected limb using a boot or traction tape. Antibiotic ointment is not typically applied to the skin under Buck's traction unless there are specific wounds or abrasions that require treatment.

C. Ensuring the child's feet are against the footboard is not applicable to Buck's traction, which does not require the feet to be against a footboard.

D. There is typically no need to reduce a child's fluid intake solely because they are in Buck's traction for Legg-Calve-Perthes disease. Adequate hydration is essential for overall health and healing, and fluid restriction is not indicated unless there are specific medical reasons for doing so.

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The nurse is planning to teach parents about prevention of Reye's syndrome. What information would the nurse include in this teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse develops a plan of care for a child at risk for tonic-clonic seizures. In the plan of care, the nurse identifies seizure precautions and documents that which of the item(s) need to be placed at the child bedside?

Correct Answer is D

Explanation

A nurse is caring for a child who has Legg-Calve-Perthes disease and is in Buck's traction. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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