A toddler has a temperature above 101° F (38.3° C). The physician prescribes acetaminophen (Tylenol).. Thrombocytopenia

A toddler has a temperature above 101° F (38.3° C). The physician prescribes acetaminophen (Tylenol), 120 mg suppository to be administered rectally every 4 to 6 hours. However, nurse Becky should not administer this rectal medication if the child has:
a. Sepsis
b. Leukocytosis
c. Anemia
d. Thrombocytopenia

Answer D. A child with thrombocytopenia or neutropenia shouldn’t receive rectal medication because of the increased risk of infection and bleeding that may result from tissue trauma.
No contraindications exist for administering rectal medication to a child with sepsis, leukocytosis, or anemia.
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