The clinic nurse receives a call from the mother of a 4-year-old child on long-term corticosteroid therapy saying the child woke up with a cold and is pulling on his ear. What instructions will the nurse provide?
A) "Encourage fluids, monitor his temperature, and he will be better in 3 days."
B) "Take him to the emergency room (ER) immediately."
C) "Bring him to the clinic to be seen today."
D) "Hang up and call 911."
C
Feedback:
Children receiving long-term therapy should be protected from exposure to infection. Special precautions should be instituted to avoid injury. If injuries or infections do occur, the child should be seen by a primary care provider as soon as possible. There is no need to treat this as an emergency so the mother need not rush the child to the ER or call 911, but she should be encouraged to have the child seen today at the clinic. It would not be appropriate to give home care instructions until he has been seen at the clinic.
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