A child with nephrotic syndrome is prescribed a corticosteroid. The nurse should ensure the child is:
Taken off the medication after 1 week
Monitored closely for signs of infection
Administered the medication with milk
Given the medication at bedtime
The Correct Answer is B
Choice A reason: Discontinuing corticosteroids after one week in nephrotic syndrome is inappropriate, as treatment requires a prolonged course (weeks to months) to reduce proteinuria and edema. Abrupt cessation risks adrenal insufficiency and disease relapse due to persistent glomerular inflammation, making this an incorrect approach for managing the immune-mediated pathology effectively.
Choice B reason: Corticosteroids in nephrotic syndrome suppress the immune system, increasing infection risk due to reduced immunoglobulin production and impaired immune response. Children are particularly vulnerable to bacterial infections like peritonitis. Close monitoring for fever, leukocytosis, or other infection signs is critical to detect and treat complications early, ensuring safe management.
Choice C reason: Administering corticosteroids with milk may reduce gastrointestinal irritation but is not the priority in nephrotic syndrome. The primary concern is immunosuppression, increasing infection risk. While milk may aid tolerability, it does not address the significant risk of sepsis or other infections, making monitoring for infection the more critical nursing action.
Choice D reason: Giving corticosteroids at bedtime may align with diurnal cortisol rhythms but is not the priority in nephrotic syndrome. Timing does not mitigate the immunosuppression that increases infection risk. Monitoring for infection signs like fever or malaise is essential, as corticosteroids heighten susceptibility, making bedtime administration a less critical consideration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Rice is naturally gluten-free, safe for celiac disease, as it lacks gliadin, the protein causing intestinal villous atrophy. It provides carbohydrates without triggering immune-mediated damage, supporting nutrient absorption. Rice is an acceptable food choice, not causing the malabsorption or inflammation seen in celiac disease, making it a correct dietary option.
Choice B reason: Barley contains gluten, which triggers immune-mediated intestinal damage in celiac disease, causing villous atrophy, malabsorption, and symptoms like diarrhea. Consuming barley exacerbates the condition, leading to nutrient deficiencies and growth issues. It’s an unacceptable food choice, requiring strict avoidance to prevent disease flare-ups in affected children.
Choice C reason: Corn is gluten-free, safe for celiac disease, as it does not contain the proteins that cause mucosal damage. It supports nutrition without triggering inflammation or malabsorption. Corn is an acceptable choice, not contributing to the pathophysiology of celiac disease, making it a suitable dietary option for affected children.
Choice D reason: Wheat contains gluten, causing intestinal damage in celiac disease via immune-mediated villous atrophy, leading to malabsorption and symptoms like diarrhea. While unacceptable, the question specifies one choice, and barley is equally harmful. However, barley is often less recognized, making it the focus for teaching in this context.
Correct Answer is ["3.8"]
Explanation
Step 1 is to convert pounds to kilograms: (22 ÷ 2.2) = 10 Result = 10 kg
Step 2 is to calculate the total daily dose in mg: 10 × 1.5 = 15 Result = 15 mg/day
Step 3 is to determine the number of doses per day when given every 6 hours: 24 ÷ 6 = 4 Result = 4 doses/day
Step 4 is to divide the total daily dose by number of doses: 15 ÷ 4 = 3.75 Result = 3.75 mg per dose
Step 5 is to calculate volume in mL: (3.75 ÷ 1) = 3.75 Result = 3.75 mL
Step 6 is to round to the nearest tenth: 3.75 rounds to 3.8
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.