Parents of a 4-month-old child ask the nurse what they can do to ...

[Bernana]

Parents of a 4-month-old child ask the nurse what they can do to help relieve the discomfort of teething. The nurse should include which suggestions for the parents? Select all that apply.
 
  a. Provide warm liquids.
  b. Rub the gums with aspirin.
  c. Over-the-counter topical medications for gum pain relief can be used as directed.
  d. Administer acetaminophen (Tylenol) as directed.
  e. Provide a hard food such as a frozen bagel for chewing.

Question 2

Which laboratory value would be elevated during periods of rapid growth or if a child had trauma or fractured a bone?
 
  a. Alkaline phosphatase (ALP)
  b. White blood cells (WBCs)
  c. Erythrocyte sedimentation rate (ESR or SED)
  d. C-reactive protein (CRP)

[vseab]

Answer to Question 1

C, D, E
To help parents cope with teething, nurses can suggest that they provide cool liquids and hard foods (e.g., dry toast, Popsicles, frozen bagels) for chewing. Hard, cold teethers and ice wrapped in cloth may also provide comfort for inflamed gums. Nurses should explain to parents that over-the-counter topical medications for gum pain relief should be used only as directed. Home remedies, such as rubbing the gums with whiskey or aspirin, should be discouraged, but acetaminophen administered as directed for the child's age can relieve discomfort.

Answer to Question 2

A
ALP is an enzyme found mainly in bone, liver, placenta, and kidney; levels may be elevated in bone disease, fractures, trauma, or liver disease and during periods of rapid growth. White blood cells would be elevated if the child had an infectious process. The SED rate is elevated in response to inflammation. The SED rate can be elevated in a child with juvenile arthritis, in musculoskeletal disorders, and in osteomyelitis. CRP is a protein that appears in blood because of an inflammatory process or infection.