1. Which of the following medications is generally preferred in treating fever?
2. Which of the following nonpharmacologic methods of reducing fever is preferred?
A. Use of an alcohol bath
C. Wearing tight clothing
D. Using a cold water sponge bath
3. Cindy is a 27-year-old woman who has had an elevated temperature for the last 2 days. She reports having a slightly elevated temperature and calls your pharmacy for dosing advice. At home, she has acetaminophen 500-mg tablets to treat her fever. What is the daily maximum recommended dose of this medication for her to use?
4. How long should adults use over-the-counter treatment with no changes in temperature before seeking care of the physician?
5. Matthew is an 11-month-old child who is being brought to your pharmacy by his father. He has no history of medical conditions and weighs 10 kg. The father reports that Matthew’s temperature at home has been 101°F (38.3°C) and has developed a slight rash behind his left ear. He does not appear to be irritable and has been properly hydrating at home. Which of the following is your recommendation for Matthew?
A. Take a bath in tepid water
B. Take Ibuprofen 100 mg q 4 hours
C. Dress Matthew in loose clothing
D. Take Naproxen 110 mg q 4 hours
6. If symptoms do not improve or get worse with OTC therapy in children less than 2 years old, when should the pediatrician be seen?
7. Which of the following medications is likely to produce symptoms of the fever?
8. On a Tuesday morning, a 37-year-old man presents to your pharmacy with a 2-day history of fever symptoms. Ted has been taking ibuprofen 400 mg every 6 hours over the last 2 days but has noticed that his fever has not decreased. He reports that he competed in a track meet over the weekend where the temperatures were above 95°F (35°C). Upon checking his temperature this morning, his last reading was 102.3°F (39.1°C). What do you recommend?
A. Switch to acetaminophen 1,000 mg every 6 hours
B. Switch to aspirin 650 mg every 4 hours
C. Continue therapy for another 24 hours
D. See a physician immediately for possible hyperpyrexia
E. See a physician immediately for possible hyperthermia
9. Christina is a 24-year-old pregnant woman who presents to your pharmacy. She explains to you that she is in her 2nd trimester of pregnancy. She has had a fever for the last 24 hours and has a temperature of 103°F (39.4°C). She has no history of renal or hepatic complications. Which of the following medications is the most appropriate for her to use?
10. Children of any age should be referred to the physician if they have a temperature that exceeds what temperature?
11. Children with a temperature exceeding 100.4°F (38.0°C)and the following symptoms should see the physician immediately EXCEPT:
A. Children who refuse intake of fluids
B. Children who appear irritable or very ill
C. Children with a history of asthma
D. Children that report with symptoms of stiff neck
E. Children who have been in a very hot place like a car
12. As sponging does not reduce the hypothalamic set point, it should be used after what time period has elapsed after administration of oral antipyretic therapy?
13. Jennifer brings her 13-year-old daughter, Suzie, to the pharmacy with a temperature of 101°F (38.3°C). Jennifer only has aspirin at home but is on a limited income and would prefer not to spend her money on additional drugs if possible. What is your recommendation for treatment of Suzie?
A. Yes, aspirin can be taken without complication
B. Yes, aspirin can be taken, but with physician’s approval
C. No, aspirin cannot be taken due to Reye’s syndrome risk
D. No, aspirin cannot be taken because it is not indicated for fever
E. No, aspirin cannot be taken because exclusions for self-care are present
14. Which of the following categories requires a referral to the physician?:
A. Infants younger than 3 months with a temperature above 98.6°F (37°C)
B. Children with temperature above 100.4°F (38°C) refusing oral fluids
C. Children of any age with a temperature above 100.4°F (38°C)
D. Children with temperature above 100.4°F (38°C) who appear hungry
E. Adults with temperature above 104°F (40°C)
15. Which of the following are proper at-home measures to take when treating fever?
A. Using the same thermometer during course of fever
B. Using cool water baths to bring down temperature
C. Using the hand to check temperature on the forehead
D. Using versatile measurement sites to ensure accuracy
E. Using alcohol baths to cool the skin