A concerned parent phones the clinic and states that her toddler was given a series of vaccines yesterday and has been irritable and is running a slight fever
The nurse should reinforce educa-tion about the side effects of the immunization and should advise the parent to a. give the child a baby aspirin for the fever and monitor the child's temperature every 4 hours.
b. administer a children's formulation of acetaminophen (Tylenol) as instructed by the prescriber.
c. give the child a cool bath and keep the child free of clothing for a few hours.
d. give the child a children's formulation of ibuprofen every day for 6 weeks.
B
Tylenol may be administered as directed by a prescriber for the fever and aches.
Children receiving the vaccine should avoid aspirin and other salicylates for 6 weeks; this pre-caution is based on the theoretical risk of Reye's syndrome when children take aspirin.
A cool bath is not indicated for a low-grade fever, and the child does not need to have the cloth-ing removed with a low-grade temperature.
The child should not take ibuprofen every day for 6 weeks.
You might also like to view...
Nurses are now working in ambulatory health clinics, hospice settings, and homeless shelters and clinics. What has influenced this increase in practice settings for nurses?
A) Population shift to more rural areas B) Shift of health care delivery into the community C) Advent of primary care clinics D) Increased use of rehabilitation hospitals
The nurse suspects a client is hypersensitive to a vaccine just administered. Nursing management of an allergic response includes immediate assessment of the:
A) dose of medication taken by the client. B) skin to check for urticaria. C) injection site for signs and symptoms of the inflammatory response. D) respirations to determine airway patency.
A 16-year-old girl has been injured in an accident and is receiving home care due to fractures and multiple trauma related injuries
She states, "I don't know why I survived and not my best friend." It is most important to A) Communicate her feelings to family and friends B) Allow the religious force in her life to visit C) Be certain that her educational needs are being met D) Increase her activity to assist in her coping ability
A nurse is conducting Weber's test. Which action will the nurse take?
a. Place a vibrating tuning fork in the middle of patient's forehead. b. Place a vibrating tuning fork on the patient's mastoid process. c. Compare the number of seconds heard by bone versus air conduction. d. Compare the patient's degree of joint movement to the normal level.