The nurse is providing discharge instructions to the mother of a child admitted for fever of unknown origin. Which of the following statements, if made by the mother, would indicate the need for further instruction?
1. "I should use Tylenol or aspirin to bring down the temperature."
2. "I should contact the doctor if I cannot wake up my child."
3. "I should observe how much my child urinates."
4. "I should monitor my child's intake of fluids throughout the day."
Correct Answer: 1
Aspirin should not be administered to ill children due to the risk of Reye syndrome. Reye syndrome is a condition of unknown etiology that may strike children. The disease affects the major organs of the body. The remaining statements are correct and should be included in the teaching plan for a child with a febrile illness. An inability to wake the child would indicate a worsening condition warranting contact with the healthcare provider. The child with an elevated temperature is at risk for dehydration. Observation of oral intake and urinary output will aid in determining fluid status.
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