Author Question: A nurse working in an outpatient pediatric clinic is speaking to the mother of a school-age client ... (Read 126 times)

PhilipSeeMore · **on:** Jun 25, 2018

A nurse working in an outpatient pediatric clinic is speaking to the mother of a school-age client who has a temperature of 101 F. Which statement should the nurse include when instructing the mother on treatment of the fever?

A) Place the child in a cold bath.
B) Administer aspirin by either chewable tablet or liquid suspension.
C) It is not necessary to treat the fever at this point.
D) If your child is shivering, it is okay to use several blankets to decrease discomfort.

Question 2

A client with a body temperature of 104 F is entering the flush phase of the fever. Which actions by the nurse are appropriate when providing care?

Select all that apply.
A) Restrict fluids.
B) Cover the client with a light sheet.
C) Monitor intake and output.
D) Cover the client with warm blankets.
E) Provide warmed intravenous fluids.

lucas dlamini · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: C

Fever is not inherently harmful until it reaches 41 C (105.9 F). For this reason, medical management may include postponing treatment of low-grade fevers-those under 38.9 C (102 F) in otherwise healthy children. The child may be placed in a tepid, not cold, bath. Aspirin should not be given to children due to its link to Reye's syndrome. Reducing clothing and blankets, not additional layers, aids in the treatment of fever.

Answer to Question 2

Answer: B, C

During the flush phase of a fever, the client's body is attempting to adjust the temperature set-point lower. Nursing measures are implemented in order to increase the body's heat loss. Covering the client with a light sheet is the intervention to use at this time. The nurse should also monitor the client's intake and output. Warm blankets and warm intravenous fluids will increase the body's temperature. Restricting fluids could lead to dehydration and a higher body temperature.