A parent calls the pediatrician's office because her 1-year-old child has a 100° F temperature. What is the most appropriate initial nursing response to make to the parent?
a. "Did you feel your child's forehead?"
b. "Tell me about the child's behavior."
c. "Has anyone in your home been sick lately?"
d. "There is no need for concern if the child's temperature is less than 101° F."
B
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A Feeling a child's forehead can give clues related to whether the child's
temperature should be measured; if it has already been measured, this is
unnecessary because it does not give accurate information about the child's body
temperature.
B In general, the height of the fever is not an indication of the seriousness of the
illness. It is more important to note changes in the child's behavior. If a child has
a low-grade temperature and acts sick, he or she should be assessed further.
C This question will yield relevant information for the nurse to use in advising the
parent, but it is not the best initial response.
D Although the height of the temperature is not an indication of the seriousness of
the child's illness, it is incorrect to tell a parent to be unconcerned about
temperatures less than 101° F.
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