The hospital admitting nurse is taking a history on a child's illness from the parents. The nurse concludes that the parents treated their six-year-old child appropriately for a fever related to otitis media when they report that they:
1. Put the child in a tub of cold water to reduce the fever.
2. Alternated acetaminophen with ibuprofen every two hours.
3. Offered generous amounts of fluids frequently.
4. Used aspirin every four hours to reduce the fever.
3
Rationale 1: Putting the child in a tub of cold water will chill the child and cause shivering, a response that will increase body temperature.
Rationale 2: Alternating acetaminophen with ibuprofen every two hours could result in an overdose.
Rationale 3: The body's need for fluids increases during a febrile illness.
Rationale 4: Aspirin has been associated with Reye's syndrome and should not be given to children with a febrile illness unless prescribed by the physician.
Global Rationale:
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