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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Chemotherapy can decrease platelet count, increasing the risk of bleeding. A soft-bristled toothbrush helps prevent gum bleeding.
B. This might help stimulate appetite but it doesn't address the specific concerns related to chemotherapy side effects.
C. If stomatitis develops, which is a painful inflammation and ulceration of the mouth, rinsing with a mild saline solution is generally recommended rather than chlorhexidine mouthwash, which can sometimes cause irritation.
D. Antiemetics should be administered as needed based on the child's symptoms, not on a fixed schedule.
Correct Answer is C
Explanation
A. During a 24-hour urine collection, all urine produced over the 24-hour period should be collected in a single container. The final specimen (the last urine voided at the end of the 24 hours) should be added to the same container as the rest of the collected urine, not saved separately.
B. For a 24-hour urine collection, there is no need to cleanse the perineum with a povidone-iodine solution before each collection. The focus should be on collecting all urine over the 24-hour period in the designated container. However, proper hygiene practices are important to avoid contamination.
C. The 24-hour urine collection starts after the first void of the day, which should be discarded. The collection begins with the second void and continues until the same time the next day, including the final void. Discarding the first void is essential to ensure that the collection accurately reflects the urine produced over a full 24-hour period.
D. During a 24-hour urine collection, the client should void as needed but collect all urine produced over the 24 hours in the designated container. There is no requirement to void every hour; the key is to ensure that every drop of urine is collected and included in the total 24-hour collection period.
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