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. Measuring weight and height is not an immediate priority in the management of shock.

B. Inserting an indwelling urinary catheter is not a priority in the early management of shock.

C. Initiating IV access is crucial for fluid resuscitation and medication administration in a child with shock.

D. While ECG monitoring is important, it is not as immediately necessary as establishing IV access for shock management.

A. A WBC of 6,000/mm3 B. Purulent nasogastric drainage C. Passage of dark red stool with mucus D. Absence of peristalsis

Correct Answer is D

Explanation

A. A WBC of 6,000/mm³ is within the normal range (4,500-11,000/mm³), and a postoperative infection is more likely to result in an elevated WBC count.

B. Purulent nasogastric drainage is more suggestive of a gastrointestinal issue unrelated to a perforated appendix and is not a common finding post-surgery.

C. Passage of dark red stool with mucus could suggest gastrointestinal bleeding or infection, but it is not typical postoperatively after a perforated appendix.

D. After surgery for a perforated appendix, peristalsis may be absent initially due to the effects of anesthesia, bowel manipulation, or inflammation from the infection. This is a normal postoperative finding.

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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

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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