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 B
Explanation
A. A urinary output of 100 mL/hr is within the expected range for a 10-year-old and does not indicate septic shock. In early septic shock, urinary output is often preserved or mildly decreased.
B. An elevated temperature (fever) is a hallmark of early septic shock as the body mounts an inflammatory response to infection. Fever often accompanies early sepsis in pediatric patients.
C. Blood pressure may remain normal or slightly elevated in early septic shock due to compensatory mechanisms. A BP of 130/90 mm Hg is not a defining feature.
D. A heart rate of 60/min is abnormally low for a 10-year-old and could indicate late-stage shock or other complications. In early septic shock, tachycardia (elevated heart rate) is typically observed.
Correct Answer is A
Explanation
A. Preschoolers (ages 3-5) engage in imaginative play, where they create stories and use objects or toys in creative ways. This is a key part of their cognitive and social development.
B. While some preschoolers may begin to show an interest in collecting items, it is more common in school-age children.
C. The need for privacy typically emerges in adolescence, not during the preschool years.
D. Preschoolers are still developing emotional regulation and may struggle with controlling impulses.
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