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.
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Related Questions
Correct Answer is ["B","C","E"]
Explanation
A. Buying toys for a child may be a kind gesture, but it does not directly contribute to building a therapeutic relationship.
B. Asking questions if families are not participating in care helps engage them and supports their involvement in the child’s care.
C. Clarifying information for families ensures that they understand their child's condition and care plan, fostering trust and communication.
D. Spending off-duty time with families may blur professional boundaries and is not recommended for maintaining a therapeutic relationship.
E. Learning about the family’s religious preferences helps the nurse provide culturally sensitive care and supports the family’s needs.
Correct Answer is B
Explanation
A. Unintelligible speech is common at 18 months and typically resolves with age. However, a hearing screening may still be appropriate to rule out any issues.
B. By 6 months of age, infants should begin making babbling sounds. The absence of babbling at 8 months suggests a potential hearing impairment and warrants further evaluation.
C. Preferring to play with others is typical behavior for a 4-year-old and does not indicate a hearing impairment.
D. An exaggerated startle response at 3 months is a normal developmental milestone and does not indicate a hearing problem.
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