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 ["B","C","D"]

Explanation

A. Salicylic acid is contraindicated for children under 12 years old because it can cause Reye's syndrome, a rare but serious condition that affects the brain and liver.
B. Sulfamethoxazole and trimethoprim is an antibiotic that is commonly used to treat UTIs caused by bacteria such as E. coli. It is anticipated for this client because it can help clear the infection and reduce the symptoms.
C. Proper perineal hygiene is important for preventing UTIs, especially in girls who have a shorter urethra than boys. The nurse should educate the child about wiping from front to back after using the toilet, avoiding bubble baths and scented products, and changing underwear daily.
D. Sunscreen is advised for clients taking sulfamethoxazole and trimethoprim because this medication can increase the sensitivity of the skin to sunlight and cause sunburns or rashes.
E. Fluid restriction is contraindicated for clients with UTIs because it can increase the concentration of bacteria in the urine and worsen the infection. The nurse should ensure that the child drinks plenty of fluids, such as water, juice, or milk, to flush out the bacteria and dilute the urine.

A. Provide the child with a warm blanket. B. Assess the oral cavity for Koplik spots. C. Administer aspirin for fever. D. Initiate airborne precautions.

Correct Answer is D

Explanation

Rationale:
A. Providing the child with a warm blanket can help keep the child comfortable during the course of the illness but initiating airborne precautions is best intervention required.
B. Assessing the oral cavity for Koplik spots is not relevant for varicella, as Koplik spots are associated with measles.
C. Administering aspirin for fever is contraindicated in children with varicella due to the risk of Reye's syndrome.
D. The nurse should initiate airborne precautions, which include placing the child in a private room with negative air pressure, wearing a mask or respirator when entering the room, and limiting visitors and staff exposure. Airborne precautions prevent the transmission of varicella through small droplets that can remain suspended in the air for long periods of time.

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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?

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["B","C","D"]

Explanation

A nurse is planning care for a child who has varicella. Which of the following interventions should the nurse plan to include?

Correct Answer is D

Explanation

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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?

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