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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. By 9 months, infants should be able to sit steadily without support. If the infant is not able to do this by 10 months, it could indicate developmental delay and should be reported to the provider.
B. Playing peek-a-boo typically develops between 6-8 months, and while it may be expected by 10 months, not playing this game alone may not be an immediate concern.
C. Imitating animal sounds is generally a skill that develops closer to 12-15 months, so the infant not being able to do this at 10 months is not concerning.
D. Turning pages in a book is generally a skill developed around 12 months, so the inability to do this at 10 months is not unusual.
Correct Answer is C
Explanation
A. Concrete thinking occurs during the concrete operational stage (7-11 years old), where children focus on tangible, real-world situations.
B. Egocentric thinking is characteristic of the preoperational stage (2-7 years old) and is when children have difficulty understanding others’ perspectives.
C. Abstract thinking occurs during adolescence and allows individuals to think hypothetically, reason logically, and understand complex concepts that are not tied to concrete experiences.
D. Preoperational thinking occurs in early childhood (2-7 years old), which is characterized by limited logic and the inability to think abstractly.
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