You are a nurse working with children of various ages. You would ...

[jazziefee]

You are a nurse working with children of various ages. You would teach the caregivers not to give acetylsalicylic acid (aspirin) to children:
 
  a. of any age c. under 13 years
  b. under 6 years d. under 18 years

Question 2

The school nurse notices that one of the adolescents who is in a peer support group is talking about not being around long and is giving away some belongings. The nurse suspects this adolescent may be thinking about suicide.
 
  Which of the following interventions would be best? a. Ask the adolescent: Have you ever thought about killing yourself or wishing you were dead?
  b. Report the suspicions to the principal, the vice principal, and adolescent's teachers.
  c. Talk with the family of the adolescent, and ask them if they have any idea about what is going on with their child.
  d. Talk with the peers of the adolescent, and ask them to watch this adolescent and find out what is going on.

[14vl19]

Answer to Question 1

C

Feedback
A Incorrect. You would teach the caregivers not to give acetylsalicylic acid (aspirin) to children under 13 years, not of any age.
B Incorrect. You would teach the caregivers not to give acetylsalicylic acid (aspirin) to children under 6 years of age, and not until they reach 13 years.
C Correct. Caregivers should not use aspirin to treat the pain and fever of viral illnesses such as influenza and varicella (chickenpox) in children under 13 years of age. The use of aspirin has been linked to the subsequent development of Reye's syndrome, which is a disorder combining both encephalopathy and fatty degeneration of the liver.
D Incorrect. You would teach the caregivers not to give acetylsalicylic acid (aspirin) to children under the age of 13, not 18 years.

Answer to Question 2

A

Feedback
A Correct: Adolescents with high risk behaviors and high risk factors should be asked directly about suicide. This is an appropriate question to ask.
B Incorrect: This is not the best intervention.
C Incorrect: Obtaining information about individual and family member's history of depression and suicide attempts, mood changes, cognitive changes including suicidal ideation, and expressions of despondency and hopelessness from caregivers is essential. However, asking them if they have any idea about what is going on with their child is not adequate.
D Incorrect: Obtaining information as mentioned above from the adolescent's peers is appropriate. However, asking them to watch this adolescent and find out what is going on is not appropriate.