A parent brings her school-age child to the clinic because the ...

[Lisaclaire]

A parent brings her school-age child to the clinic because the child has a temperature of 100.2F. The child remains active without other symptoms. Which statement by the nurse to the parents is most appropriate?
 
  1. Take the child's temperature every 2 hours and call the clinic if it reaches 102F or above.
  2. Unless the fever bothers the child, it is best to let the natural body defenses respond to the infection.
  3. Keep the child warm, because shivering often occurs with fever.
  4. Alternate acetaminophen and ibuprofen to help keep the fever down and keep the child comfortable.

Question 2

A mother brings her 4-month-old infant in for a routine checkup and vaccinations. The mother reports that the infant was exposed to a brother who has the flu. Which action by the nurse is most appropriate based on these assessment findings?
 
  1. Withhold the vaccinations.
  2. Give the vaccinations as scheduled.
  3. Withhold the DTaP vaccination but give the others as scheduled.
  4. Give the infant the flu vaccination but withhold the others.

[makaylafy]

Answer to Question 1

Correct Answer: 2
Rationale: Fever is the body's response to an infection, and is not a disease. Allowing the body's natural defenses (fever) to fight the infection is best. The fever is treated if the child is uncomfortable from effects of the fever, such as body aches, headache, etc. Taking the child's temperature more than every 46 hours is unnecessary. The child should be dressed for comfort. Light clothing is recommended. Alternating acetaminophen and ibuprofen is not recommended.

Answer to Question 2

Correct 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.

[Lisaclaire]

TYSM

[AmberC1996]

Excellent