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Question:

A nurse is on-call after hours for a pediatric clinic. A parent calls and states that her 1-year-old child has a fever of 104ºF. She asks the nurse what can she do until she can bring the child in for evaluation in the morning. Which of these recommendations is incorrect for this patient?

A Administer aspirin based on the manufacturer’s weight-based recommendations.
explanation

The nurse should advise this patient’s mother to provide supportive measures to ensure the child’s comfort and to reduce the bodily temperature. This may include the administration of cooling baths or ice packs, light clothing, and plenty of fluids. The recommendation to administer safe over-the-counter medications for fever reduction such as acetaminophen (Tylenol) or ibuprofen (Advil, Motrin, etc.) based on the manufacturer’s weight-based recommendations can be given, but aspirin should not be given to children due to the increased risk of Reye’s syndrome.

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