A nurse is providing discharge teaching to a parent of a child who has juvenile idiopathic arthritis and a new prescription for prednisone. Which of the following statements should the nurse include in the teaching?
"Limit your child's intake of potassium-rich foods."
"Monitor your child for indications of infection."
"Expect that this medication will stimulate a growth spurt."
"Discontinue this medication if gastrointestinal upset occurs."
The Correct Answer is B
A. Some corticosteroids can affect potassium levels, prednisone typically doesn't cause significant potassium loss. Therefore, limiting potassium-rich foods is unnecessary.
B. Prednisone suppresses the immune system, increasing the risk of infection. Therefore, it's crucial to monitor for signs of infection, such as fever, sore throat, or unusual discharge.
C. While growth spurts are common in childhood, prednisone doesn't directly cause them.
D. Gastrointestinal upset can be a side effect of prednisone, but abruptly stopping the medication can be harmful. The parent should contact the healthcare provider if this occurs.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The FLACC (Faces, Legs, Activity, Cry, Consolability) pain scale is ideal for assessing pain in toddlers, especially those who are cognitively impaired. It relies on observable behaviors rather than self-report.
B. A visual analog scale requires the patient to rate pain on a linear scale, which is not suitable for a toddler, especially one who is cognitively impaired.
C. While the FACES pain scale is useful for older children who can understand facial expressions, it is not appropriate for toddlers, especially those with cognitive impairments.
D. The CRIES pain scale is primarily used for neonates, not toddlers.
Correct Answer is D
Explanation
A. A child might feel more anxious without a parent present. The parent's presence can provide comfort and support.
B. Overly detailed explanations might increase anxiety. Providing simple, age-appropriate information just before the procedure is more effective.
C. The playroom is associated with fun activities. Performing a medical procedure in this environment can create negative associations.
D. Applying a topical anesthetic cream before the procedure can significantly reduce pain and discomfort during venipuncture, providing atraumatic care.
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