The hospital admitting nurse is taking a history on a child's illness from the parents. The nurse concludes that the parents treated their 6-year-old child appropriately for a fever related to otitis media when they reported that they
1. used aspirin every four hours toreduce the fever.
2. alternated acetaminophen withibuprofen every two hours.
3. put the child in a tub of cold waterto reduce the fever.
4. offered generous amounts of fluidsfrequently.
Answer:4
Rationale: The body's need for fluids increases during a febrile illness. Aspirin has been associated with Reye's syndrome and should not be given to children with a febrile illness. Alternating acetaminophen with ibuprofen every two hours may result in an overdose.Putting the child in a tub of cold water will chill the child and cause shivering,a response that will increase body temperature.Pediatric medication doses are more accurately calculated using the child's weight,not age. Evaluation
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