The nurse is reviewing the physician's prescriptions for a child with rheumatic fever (RF) who is suspected of having a viral infection. The nurse notes that acetylsalicylic acid (aspirin) is pre-scribed for the child
Which of the following nursing actions is most appropriate? 1. Administer the aspirin if the child's temperature is elevated.
2. Administer the aspirin if the child experiences any joint pain.
3. Consult with the physician to verify the prescription.
4. Administer acetaminophen (Tylenol) instead of the aspirin for temperature eleva-tion.
3
Rationale: Anti-inflammatory agents, including aspirin, may be prescribed for the child with RF. Aspirin should not be given to a child who has chickenpox or other viral infections. The nurse would not administer acetaminophen (Tylenol) without specific physician's prescriptions. "Ad-minister the aspirin if the child's temperature is elevated" and "administer the aspirin if the child experiences any joint pain" are not appropriate actions.
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