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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Tachypnea is a sign of respiratory distress and may indicate hypoxia, dehydration, or increased work of breathing. The nurse should report this finding to the provider and monitor the infant's oxygen saturation, heart rate, and respiratory rate.
B) Coughing is a common symptom of RSV and may not require immediate reporting unless severe.
C) Rhinorrhea (runny nose) is a common symptom of RSV and may not require immediate reporting unless severe.
D) Pharyngitis (sore throat) is a common symptom of RSV but is not as urgent as tachypnea.
Correct Answer is B
Explanation
A. No head lag when pulled to a sitting position is a normal finding at 4 months of age.
B. They should not have doll's eye reflex intact, which means that their eyes move in the opposite direction of their head when turned. This reflex normally disappears by 3 months of age and its persistence may indicate brain damage.
C. The presence of tears when crying is a normal finding at 4 months of age.
D. They should also have positive Babinski reflex, which means that their toes fan out when their sole is stroked. This reflex normally disappears by 12 months of age.
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