A critically ill child has hyperthermia. The parents ask the ...

[jparksx]

A critically ill child has hyperthermia. The parents ask the nurse to give an antipyretic such as acetaminophen (Tylenol). The nurse should explain that antipyretics:
 
  a. May cause malignant hyperthermia.
  b. May cause febrile seizures.
  c. Are of no value in treating hyperthermia.
  d. Are of limited value in treating hyperthermia.

Question 2

What nursing action is appropriate for specimen collection?
 
  a. Follow sterile technique for specimen collection.
  b. Sterile gloves are worn if the nurse plans to touch the specimen.
  c. Use Standard Precautions when handling body fluids.
  d. Avoid wearing gloves in front of the child and family.

[qytan]

Answer to Question 1

ANS: C
Unlike with fever, antipyretics are of no value in hyperthermia because the set point is already normal. Cooling measures are used instead. Malignant hyperthermia is a genetic myopathy that is triggered by anesthetic agents. Antipyretic agents do not have this effect. Antipyretics do not cause seizures and are of no value in hyperthermia.

Answer to Question 2

ANS: C
Standard Precautions should always be used when handling body fluids. Specimen collection is not always a sterile procedure. Gloves should be worn if there is a chance the nurse will be contaminated. The choice of sterile or clean gloves will vary according to the procedure or specimen. The child and family should be educated in the purpose of glove use, including the fact that gloves are used with every patient, so that they will not be offended or frightened.