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A nurse at a pediatric hotline receives a call from a mother who plans to administer aspirin to a toddler for a fever and wants to know the dosage. Which of the following statements by the nurse is an appropriate response?
- A. Give her acetaminophen, not aspirin.
- B. You'll have to call your physician.
- C. Follow the directions on the aspirin bottle for her age and weight.
- D. Give her no more than three baby aspirin every 4 hours.
Correct Answer: A
Rationale: Acetaminophen is commonly recommended for treating fever in children as it is safer and does not carry the risk of Reye's syndrome.
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A nurse is collecting data from an adolescent. Which of the following represents the greatest risk for suicide?
- A. Active psychiatric disorder
- B. Availability of firearms
- C. Family conflict
- D. Homosexuality
Correct Answer: A
Rationale: The presence of an active psychiatric disorder
A nurse is teaching the parents of a child who has diabetes mellitus about the manifestations of hypoglycemia. Which of the following manifestations should the nurse include in the teaching?
- A. Fruity breath odor
- B. Diaphoresis
- C. Dry mucous membranes
- D. Polyuria
Correct Answer: B
Rationale: Diaphoresis is a common symptom of hypoglycemia due to the activation of the sympathetic nervous system.
A nurse is reinforcing discharge instructions with a parent of a 6-year-old child who has just had a tonsillectomy. Which of the following statements by the parent indicates an understanding of postoperative care?
- A. It's okay for my child to have plenty of ice cream.
- B. I'll help my child gargle with salt water a few times a day.
- C. It's okay for my child to ride his bike in a few days.
- D. I'll call the doctor if my child is swallowing continuously.
Correct Answer: D
Rationale: Continuous swallowing can indicate bleeding a serious complication that requires immediate medical attention.
A nurse working at a clinic speaks on the telephone with a parent of a 2-month-old infant. The parent tells the nurse that the infant has projectile vomiting followed by hunger after meals. Which of the following responses by the nurse is appropriate?
- A. Bring your infant into the clinic today to be seen.
- B. You might want to try switching to a different formula.
- C. Give your infant an oral rehydration solution.
- D. Burp your child more frequently during feedings.
Correct Answer: A
Rationale: Projectile vomiting can be a sign of pyloric stenosis a condition that requires prompt medical evaluation.
A nurse is caring for an adolescent following the application of a plaster cast for a fractured right tibia. Which of the following actions should the nurse take?
- A. Keep the client's leg in a dependent position.
- B. Use a hair dryer on a hot setting to dry the cast.
- C. Discourage the client from ambulating.
- D. Perform a neurovascular check of the lower extremities.
Correct Answer: D
Rationale: Neurovascular checks are essential to ensure that there is adequate blood flow and nerve function below the cast.