A nurse is collecting data from a school-age child who has Cushing's syndrome. Which of the following findings should the nurse expect?

Hypersomnia

Hypotension

Rapid weight loss

Rounded facial features

Answer and Explanation

The Correct Answer is D

Choice A reason:

Hypersomnia (excessive sleepiness) is not a typical finding in Cushing's syndrome. Instead, children with Cushing's syndrome may experience insomnia or disrupted sleep patterns.

Choice B reason:

Hypotension (low blood pressure) is not a characteristic finding in Cushing's syndrome. Elevated blood pressure is more commonly associated with this condition.

Choice C reason:

Rapid weight loss is not a typical finding in Cushing's syndrome. Instead, children with Cushing's syndrome may experience weight gain, particularly in the face (moon face), abdomen, and upper back.

Choice D reason:

Correct. Rounded facial features, often referred to as "moon face," are a characteristic finding in children with Cushing's syndrome. This is due to the redistribution of fat in the body, particularly in the face and trunk.

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Correct Answer is B

Explanation

Choice A reason:

Cold compresses may exacerbate vaso-occlusion in a client with sickle cell anemia and are not recommended.

Choice B reason:

Maintaining bed rest can help reduce the risk of hypoxemia, as it minimizes energy expenditure and oxygen demand.

Choice C reason:

Increasing oral fluid intake is important for preventing vaso-occlusive crises, so decreasing fluid intake is not a recommended intervention.

Choice D reason:

Administering meperidine for fever is not a standard intervention for sickle cell anemia. Fever during a vaso-occlusive crisis should be evaluated and treated according to the underlying cause.

A. Discontinue antibiotics when the fever has resolved. B. Antibiotics might cause splinter hemorrhages under the child's nails. C. Obtain prophylactic antibiotics for family members. D. Antibiotics will be needed prior to dental work.

Correct Answer is D

Explanation

Choice A reason:

Discontinuing antibiotics when the fever has resolved is not an appropriate instruction for a child with infective endocarditis. The full course of antibiotics should be completed.

Choice B reason:

While antibiotics can have side effects, splinter hemorrhages under the child's nails are not a common side effect of antibiotic use for infective endocarditis.

Choice C reason:

Obtaining prophylactic antibiotics for family members is not a standard practice for infective endocarditis.

Choice D reason:

This statement is correct. Antibiotics are needed prior to certain dental procedures for children with infective endocarditis to prevent bacterial endocarditis.

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A nurse is collecting data from a school-age child who has Cushing's syndrome. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is contributing to the plan of care for an adolescent client who has sickle cell anemia and is experiencing a vaso-occlusive crisis. Which of the following interventions should the nurse include in the plan?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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