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 D

Explanation

A. Bubble baths can irritate the skin and worsen eczema symptoms. Bathing in lukewarm water with a mild soap is preferable.

B. Woolen clothing can cause irritation and worsen eczema. Soft cotton fabrics are recommended to avoid skin irritation.

C. Fabric softeners can contain fragrances and chemicals that may irritate sensitive skin. It’s best to use mild, fragrance-free detergents.

D. Topical corticosteroids are commonly used to treat eczema by reducing inflammation and itching. It is important for the caregiver to apply these medications as prescribed to manage flare-ups.

A. An anxiety reaction B. Developing autonomy C. Regression D. Resentment toward the mother

Correct Answer is A

Explanation

A. The toddler’s behavior—sitting quietly and turning away from the nurse—suggests anxiety due to separation from the mother. This is typical of toddlers who experience distress when separated from caregivers.

B. Developing autonomy is a developmental task of toddlers, but the behavior described (turning away from the nurse and seeking comfort through thumb-sucking) indicates distress rather than an expression of independence.

C. Regression can occur in toddlers when they experience stress, but the behavior here seems more related to anxiety than a return to earlier developmental behaviors.

D. Resentment toward the mother is unlikely in this situation; the behavior is more indicative of separation anxiety.

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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 is providing teaching to a parent of a preschooler who has eczema. Which of the following instructions should the nurse include in the teaching?

Correct Answer is D

Explanation

Correct Answer is A

Explanation

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