A nurse is assessing a school-age child who is receiving prednisolone. For which of the following adverse effects should the nurse monitor?

Stevens-Johnson syndrome

Prolonged wound healing

Hypotension

Renal failure

Answer and Explanation

The Correct Answer is B

D.   Renal failure Correct Answer: B Rationale:
A.   Stevens-Johnson syndrome is a severe allergic reaction that can occur with various medications, but it is not a common adverse effect of prednisolone.
B.   Prolonged wound healing is a potential adverse effect of corticosteroids like prednisolone due to their immunosuppressive effects.
C.   Hypotension is not a common adverse effect of prednisolone; rather, it can cause fluid retention and hypertension.
D.   Renal failure is a rare adverse effect of prednisolone and is not typically monitored for in school-age children unless there are preexisting renal issues.

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Correct Answer is C

Explanation

Correct Answer: C Rationale:
A. Vomiting may occur with various gastrointestinal conditions but is not a specific finding associated with necrotizing enterocolitis. Bloody stools are more characteristic of this condition.
B. Hypertension is not typically associated with necrotizing enterocolitis. Instead, infants may present with hypotension due to sepsis or shock.
C. A rounded abdomen is a common finding in necrotizing enterocolitis due to abdominal distention from gas and fluid accumulation in the intestines.
D. Tachypnea may occur as a result of sepsis or respiratory distress but is not specific to necrotizing enterocolitis.

A. Check the newborn's eyes every 8 hr. B. Place mittens on the newborn's hands. C. Monitor the newborn's temperature every 2 hr. D. Apply lotion to the newborn's skin.

Correct Answer is C

Explanation

Rationale:
A. Checking the newborn's eyes every 8 hours is not necessary for the management of hyperbilirubinemia or phototherapy.
B. Placing mittens on the newborn's hands is unrelated to the management of hyperbilirubinemia or phototherapy.
C. Monitoring the newborn's temperature every 2 hours is essential during phototherapy because infants are at risk of hypothermia due to increased heat loss from the lights.
D. Applying lotion to the newborn's skin is not recommended during phototherapy as it can interfere with the effectiveness of the lights.

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A nurse is assessing a school-age child who is receiving prednisolone. For which of the following adverse effects should the nurse monitor?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an infant who has necrotizing enterocolitis. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

A nurse is caring for a 1-week-old newborn who has hyperbilirubinemia and is being treated with phototherapy. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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