The mother brings her five-month-old infant to the clinic for a ...

[Themember4]

The mother brings her five-month-old infant to the clinic for a well-child visit. The mother tells the nurse that the baby's father had febrile seizures when he was an infant.
 
  The mother says she is concerned her baby will have a febrile seizure and wants to know what she should do to prevent it. The nurse explains: Standard Text: Select all that apply. 1. That the baby has no more risk of febrile seizures than any other baby.
  2. When the infant has a fever, the mother should give the baby dose-appropriate aspirin.
  3. That the baby should be sponged with cold water.
  4. The mother should increase the child's fluid intake.
  5. That after the tepid bath, the child should be patted dry.

Question 2

The nurse is preparing to administer a vaccine to a 14-month-old infant. Which finding would require that the nurse delay the vaccination until the next well-child visit?
 
  1. The child is allergic to a substance in the vaccine.
  2. The child has a low-grade fever and a runny nose.
  3. The child received a dose of immune globulin two months ago.
  4. The child is on antibiotics.

[allisonblackmore]

Answer to Question 1

4,5
Rationale 1: Febrile seizures run in families and are more common in males.
Rationale 2: Aspirin should be avoided due to the risk for Reye syndrome.
Rationale 3: Cold water may cause shivering, which will increase the body temperature.
Rationale 4: Fluid intake will help heat loss.
Rationale 5: A tepid bath will bring down the temperature; patting, instead of rubbing, will help keep the child's temperature down.
Global

Answer to Question 2

3
Rationale 1: This is a contraindication for this vaccine forever. The child should not receive the vaccine at the next well-child visit or at any other time.
Rationale 2: A mild upper respiratory infection would not be a contraindication for vaccine administration.
Rationale 3: The antibodies in the immune globulin will prevent the child from developing immunity to the vaccination. By the next well-child visit, the immune globulins will not prevent immunity from developing.
Rationale 4: Antibiotic administration will not prevent the development of active immunity.
Global Rationale:

[Themember4]

Thank you

[allisonblackmore]

No problemo