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 B
Explanation
A. Factor VIII concentrate is used to treat hemophilia, not iron deficiency anemia.
B. Ferrous sulfate is an iron supplement commonly used to treat iron deficiency anemia.
C. Good oral hygiene is important but it does not directly address the underlying issue of iron deficiency anemia.
D. There is no need for protective precautions in iron deficiency anemia.
Correct Answer is B
Explanation
A. This is within the normal range for a school-age child and does not require immediate reporting.
B. This is a significant amount of drainage and should be reported to the provider as it may indicate ongoing bleeding or fluid accumulation.
C. Serous drainage is expected in the early postoperative period and does not require immediate reporting.
D. Fluctuation in the water-sealed chamber is normal and indicates that the chest tube system is functioning correctly.
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