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The nurse is planning to teach parents about prevention of Reye's syndrome. What information would the nurse include in the teaching?

A.

Get the child tested for Reye's syndrome if the child exhibits. fever, vomiting and lethargy.

B.

Use aspirin instead of acetaminophen for children with viral illness

C.

Advise parents to have their children immunized against Reye's syndrome

D.

Avoid giving salicylate-containing medications to a child who has a viral syndrome

Answer and Explanation

The Correct Answer is D

A. "Get the child tested for Reye's syndrome if the child exhibits fever, vomiting, and lethargy.": While these are symptoms of Reye's syndrome, prevention focuses on avoiding triggers like salicylates during viral illnesses, not merely recognizing symptoms.

 

B. "Use aspirin instead of acetaminophen for children with viral illness.": Aspirin increases the risk of Reye's syndrome in children with viral illnesses.

 

C. "Advise parents to have their children immunized against Reye's syndrome.": There is no vaccine for Reye's syndrome; prevention relies on avoiding salicylate use during viral infections.

 

D. "Avoid giving salicylate-containing medications to a child who has a viral syndrome.": Salicylates, such as aspirin, are the primary risk factor for Reye's syndrome, so avoidance is critical.


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Correct Answer is C

Explanation

A. Cough: A cough is more commonly associated with respiratory infections, not meningitis.

B. Joint pain: Joint pain is not a primary symptom of meningitis but may occur in other conditions.

C. Fever: Fever is a hallmark symptom of meningitis, reflecting the body’s immune response to infection.

D. Abdominal pain: Abdominal pain is not typically associated with meningitis.

Correct Answer is D

Explanation

A. Pneumococcal conjugate vaccine (PCV): This vaccine is generally completed before the age of 5, so it is not typically administered at this stage.

B. Hepatitis B (HBV): The HBV series is usually completed during infancy and early childhood, so it is not needed at 5 years if the child is up to date.

C. Haemophilus influenzae type B (Hib): Hib is typically completed by 18 months of age and is not required for pre-kindergarten.

D. Measles, mumps, and rubella (MMR): A second dose of MMR is typically required at 4-6 years, aligning with pre-kindergarten vaccination schedules.

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