A parent asks a primary care NP how much acetaminophen to give a 2-year-old child who has a temperature of 37.5° C. The NP should tell the parent that:
a. acetaminophen is not safe in children younger than 6 years.
b. acetaminophen may mask a fever and prevent treatment of other symptoms.
c. antipyretics are usually not necessary for temperatures less than 37.7° C.
d. antipyretics should be given to prevent seizures, but nonsteroidal antiinflammatory drugs are a better choice.
C
Acetaminophen is the drug of choice for treating fever but is generally not indicated for fever less than 37.7° C. Acetaminophen is safe for children and infants. Treating the fever may prolong the illness and mask symptoms, but these are not contraindications for giving antipyretics.
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