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. "I cannot wash my child's hair prior to the procedure.": Hair should be clean and free of oils or products to ensure proper electrode placement and signal conduction.
B. "This procedure will be painful for my child.": An EEG is a non-invasive and painless test.
C. "I should not give my child anything to eat prior to the procedure.": Eating is usually permitted before an EEG unless sedation is planned.
D. "My child should remain quiet and still during this procedure.": Movement can interfere with the test's accuracy, so the child needs to stay calm and still during the procedure.
Correct Answer is C
Explanation
A. "I know that my child will need to have a companion when swimming." This is a correct precaution to prevent drowning in case of a seizure.
B. "I will make my child wear a medical identification bracelet." This is correct to alert others in case of an emergency.
C. "I will need to give antiseizure medications when my child has a seizure." Antiseizure medications are typically administered as a preventive measure, not during a seizure. Emergency medications (e.g., rectal diazepam) may be used for prolonged seizures but are not routine for every seizure.
D. "I will have my child wear a bike helmet when riding a bike or skateboard." This is correct to protect the child from head injuries during activities.