Author Question: A concerned parent phones the clinic and states that her toddler was given a series of vaccines ... (Read 42 times)

cool · **on:** Jul 23, 2018

A concerned parent phones the clinic and states that her toddler was given a series of vaccines yesterday and has been irritable and is running a slight fever.

The nurse should reinforce educa-tion about the side effects of the immunization and should advise the parent to a. give the child a baby aspirin for the fever and monitor the child's temperature every 4 hours.
b. administer a children's formulation of acetaminophen (Tylenol) as instructed by the prescriber.
c. give the child a cool bath and keep the child free of clothing for a few hours.
d. give the child a children's formulation of ibuprofen every day for 6 weeks.

Question 2

The nurse administers cefotetan (Cefotan) to a patient who also is taking warfarin (Coumadin). The nurse should monitor the patient carefully for

a. increased WBCs.
b. significantly elevated levels of cefotetan.
c. bruising or bleeding gums.
d. hyperkalemia.

billybob123 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

B
Tylenol may be administered as directed by a prescriber for the fever and aches.
Children receiving the vaccine should avoid aspirin and other salicylates for 6 weeks; this pre-caution is based on the theoretical risk of Reye's syndrome when children take aspirin.
A cool bath is not indicated for a low-grade fever, and the child does not need to have the cloth-ing removed with a low-grade temperature.
The child should not take ibuprofen every day for 6 weeks.

Answer to Question 2

C
The nurse should monitor the patient for bruising or bleeding gums, because cefotetan can pro-mote bleeding, especially when administered concurrently with warfarin.
Nothing indicates that the nurse should monitor for an elevated white blood cell count or toxic levels of cefotetan.
Nothing indicates that the patient's potassium levels should be assessed.