A nurse is caring for a 6-year-old client who has nephrotic syndrome. Which of the following adverse effects of corticosteroids should the nurse recognize as having the potential to impact the child's psychosocial development? (Select All that Apply.).

Weight gain

Irritability

Osteoporosis

Hypertension

Nausea

Answer and Explanation

Correct Answer : A,B

A. Weight gain due to fluid retention and increased appetite from corticosteroid use can have psychosocial effects, particularly on body image and self-esteem in children.

B. Irritability is a common side effect of corticosteroids and can affect a child's mood and social interactions, potentially impacting psychosocial development.

C. Osteoporosis is a long-term risk of corticosteroid therapy, but it is not an immediate concern for a child's psychosocial development.

D. Hypertension is a side effect of corticosteroids but is less likely to have an immediate impact on the child's psychosocial development.

E. Nausea is a side effect of corticosteroids but does not typically affect psychosocial development.

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Correct Answer is C

Explanation

A. While the nurse is required to report, it is not the supervisor’s decision. The nurse should clarify that they are the mandated reporter.

B. Deferring the explanation to the supervisor avoids the nurse’s responsibility. The nurse should directly explain their duty.

C. Nurses are mandated reporters and are legally required to report suspected child abuse. This response is appropriate as it aligns with the nurse’s professional and legal responsibilities.

D. The nurse should address the issue, not refer to the provider for an explanation of their actions.

A. 2 mL/kg/hr B. 7.5 mL/kg/hr C. 0.5 mL/kg/hr D. 15 mL/kg/hr

Correct Answer is A

Explanation

A. A normal urinary output in infants is approximately 1-2 mL/kg/hr. An output of 2 mL/kg/hr would indicate that the fluid imbalance is being corrected.

B. An output of 7.5 mL/kg/hr is excessive and may indicate overhydration or other complications.

C. An output of 0.5 mL/kg/hr is too low and suggests that the fluid imbalance is not yet corrected.

D. An output of 15 mL/kg/hr is too high and could indicate a possible issue such as overhydration.

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A nurse is caring for a 6-year-old client who has nephrotic syndrome. Which of the following adverse effects of corticosteroids should the nurse recognize as having the potential to impact the child's psychosocial development? (Select All that Apply.).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse reports an incident of suspected child abuse. One of the parents of the child becomes upset and demands to know the reason for the nurse's action. Which of the following responses by the nurse is appropriate?

Correct Answer is C

Explanation

A nurse is admitting a 6-month-old infant who has dehydration. Which of the following amounts of urinary output should indicate to the nurse that the treatment has corrected the fluid imbalance?

Correct Answer is A

Explanation

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