A mother brings her 4-month-old infant in for a routine checkup ...

[beccaep]

A mother brings her 4-month-old infant in for a routine checkup and vaccinations. The mother reports that the 4-month-old was exposed to a brother who has the flu.In this case the nurse will
 
  1. withhold the vaccinations.
  2. give the vaccinations as scheduled.
  3. withhold the DTaP vaccination butgive the others as scheduled.
  4. give the infant the flu vaccination butwithhold the others.

Question 2

The hospital admitting nurse is taking a history on a child's illness from the parents. The nurse concludes that the parents treated their 6-year-old child appropriately for a fever related to otitis media when they reported that they
 
  1. used aspirin every four hours toreduce the fever.
  2. alternated acetaminophen withibuprofen every two hours.
  3. put the child in a tub of cold waterto reduce the fever.
  4. offered generous amounts of fluidsfrequently.

[jharrington11]

Answer to Question 1

Answer:2
Rationale:Recent exposure to an infectious disease is not a reason to defer a vaccine. There is no reason to withhold any of the vaccinations due at this time. The flu vaccination would not routinely be given to a 4-month-old.

Answer to Question 2

Answer:4
Rationale: The body's need for fluids increases during a febrile illness. Aspirin has been associated with Reye's syndrome and should not be given to children with a febrile illness. Alternating acetaminophen with ibuprofen every two hours may result in an overdose.Putting the child in a tub of cold water will chill the child and cause shivering,a response that will increase body temperature.Pediatr ic medication doses are more accurately calculated using the child's weight,not age. Evaluation

[beccaep]

Excellent

[Alyson.hiatt@yahoo.com]

Gracias!