Pediatric ATI Practice Exam

In caring for a toddler with otitis media and a high fever, what should the nurse do first?

1. Administer an antipyretic

2. Reduce the room temperature

3. Dress the child in minimal clothing

4. Apply cool compresses to the child's forehead

The correct answer is: Administer an antipyretic

Administering an antipyretic is the first priority in this scenario because the primary concern is to alleviate the high fever the toddler is experiencing. High fevers in young children can lead to discomfort and potential complications, so promptly addressing the fever can help prevent further distress and possible febrile seizures. Antipyretics, such as acetaminophen or ibuprofen, are effective in lowering body temperature and improving the child’s comfort level. While reducing the room temperature, dressing the child in minimal clothing, and applying cool compresses to the forehead are also methods used to manage fever, these interventions are typically secondary to administering an antipyretic. They may provide additional comfort and support but do not have the same immediate effect on fever reduction that antipyretics do. Thus, prioritizing the administration of an antipyretic ensures that the most effective action is taken to manage the fever promptly and safely.