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?
“Discontinue this medication if gastrointestinal upset occurs.”
“Limit your child’s intake of potassium-rich foods.”
“Expect that this medication will stimulate a growth spurt.”
Monitor your child for indications of infection.”
The Correct Answer is D
A. Instructing the parent to discontinue prednisone if gastrointestinal upset occurs is not appropriate, as abrupt discontinuation of corticosteroids can lead to adrenal insufficiency. Monitoring for and managing gastrointestinal upset while continuing the medication as prescribed is more appropriate.
B. Limiting intake of potassium-rich foods is not specifically indicated with prednisone therapy. Prednisone may increase the risk of potassium loss, but dietary adjustments should be made under medical guidance.
C. Prednisone can affect growth in children, but it is more commonly associated with slowing growth rather than stimulating a growth spurt. This statement is misleading and not accurate.
D. Monitoring the child for indications of infection is crucial when taking prednisone, as corticosteroids can suppress the immune system and increase susceptibility to infections. This statement addresses an important aspect of medication safety and is the priority in discharge teaching.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Administering vaccines prior to discharge may not be appropriate for a child with neutropenia as they have a compromised immune system, and live vaccines should be avoided.
B. Avoiding raw fruits and vegetables in the child's diet is essential because raw produce may harbor bacteria that could potentially lead to infections in a child with neutropenia. Cooked fruits and vegetables are safer options.
C. Bathing the child every other day may be appropriate to maintain cleanliness, but it is not specifically related to neutropenia management.
D. Obtaining the child's rectal temperature once daily is important for monitoring for fever, which can be a sign of infection in a neutropenic child. However, dietary precautions to prevent bacterial exposure are more directly related to managing neutropenia.
Correct Answer is A
Explanation
A. Oral electrolyte solution helps to prevent dehydration and maintain electrolyte balance in infants with acute diarrhea.
B. Applesauce may worsen diarrhea due to its high fiber content and should be avoided initially.
C. White grape juice may worsen diarrhea due to its high sugar content and lack of electrolytes.
D. Chicken soup may not provide the necessary electrolytes and may contain ingredients that are difficult for an infant with acute diarrhea to digest.
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