Author Question: The hospital admitting nurse is taking a history of a child's illness from the parents. The nurse ... (Read 115 times)

captainjonesify · **on:** Jun 28, 2018

The hospital admitting nurse is taking a history of a child's illness from the parents. The nurse concludes that the parents treated their 6-year-old child appropriately for a fever related to otitis media.

Which action by the parents brought the nurse to this conclusion?
1. Used aspirin every four hours to reduce the fever
2. Alternated acetaminophen with ibuprofen every two hours
3. Put the child in a tub of cold water to reduce the fever
4. Offered generous amounts of fluids frequently

Question 2

The nurse is teaching a prenatal class about infant care. Under which circumstances should the nurse emphasize that parents should call their healthcare provider immediately?

1. Child 4 months old, received a DTaP immunization yesterday, and has a temperature of 38.0 degrees C (100.4 degrees F)
2. Child under 3 months old and has a temperature over 40.1 degrees C (104.2 degrees F)
3. Child difficult to awaken and has a pulsing fontanel
4. Child has purple spots on the skin and is lethargic.
5. Child has a stiff neck and has been irritable for three days.

Joy Chen · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

Correct Answer: 4
Rationale: The body's need for fluids increases during a febrile illness. Aspirin has been associated with Reyes syndrome and should not be given to children with a febrile illness. Alternating acetaminophen with ibuprofen every two hours may result in an overdose. Pediatric medication doses are more accurately calculated using the child's weight, not age. Putting the child in a tub of cold water will chill the child and cause shivering, a response that will increase body temperature.

Answer to Question 2

Correct Answer: 2,3,4,5
Rationale: Infants under 3 months of age have limited ability to develop antibodies to fight infection, and a fever as high as 40.1 degrees C indicates a serious infection. Difficulty to awaken and a pulsing fontanel, purple spots on the skin and lethargy, a stiff neck and irritability for three days in infants and children of any age may indicate meningitis. A mild fever of 38.0 degrees C (100.4 degrees F) in the 4-month-old who received a DTaP immunization yesterday is incorrect because the mild fever is expected as the body develops antibodies in response to antigens in the immunization.