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?
"Give her acetaminophen, not aspirin."
"You'll have to call your physician."
"Give her no more than three baby aspirin every 4 hours."
"Follow the directions on the aspirin bottle for her age and weight."
The Correct Answer is A
A. "Give her acetaminophen, not aspirin.": Aspirin is contraindicated in children due to the risk of Reye's syndrome, a rare but serious condition that affects the liver and brain, especially during viral illnesses like the flu or chickenpox. Acetaminophen is a safer alternative for fever management in children.
B. "You'll have to call your physician.": While seeking physician advice is important, the nurse has a duty to provide accurate, immediate, evidence-based guidance to prevent harm.
C. "Give her no more than three baby aspirin every 4 hours.": Recommending aspirin dosing is unsafe due to the risk of Reye's syndrome.
D. "Follow the directions on the aspirin bottle for her age and weight.": Providing this advice without addressing safety concerns is inappropriate and potentially harmful.
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Correct Answer is D
Explanation
A. Preschool children experience fear related to the disease process. While preschool children may fear pain or separation, this statement does not directly address their perception of death.
B. Preschool children understand death completely. Preschool children do not fully understand the permanence of death; this comprehension develops later.
C. Preschool children have no concept of death. Preschoolers have some concept of death but often see it as temporary or reversible.
D. Preschool children perceive death as temporary. Preschool-aged children often view death as temporary, like sleeping, due to their limited understanding of its finality.
Correct Answer is ["A","B","D"]
Explanation
A. Dropping held object: Loss of motor activity during absence seizures may result in dropping objects.
B. Loss of consciousness: Absence seizures involve brief, sudden loss of consciousness without convulsions.
C. Falling to the floor: This is associated with atonic or tonic-clonic seizures, not absence seizures.
D. Appearance of daydreaming: A hallmark of absence seizures is the "staring spell" or daydream-like appearance.