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. Setting the water heater to 60° C (140° F) increases the risk of scald burns for toddlers due to hot water. This is not a recommended safety measure.
B. Keeping electrical wires hidden from view helps prevent electrical burns, which is a significant risk for toddlers who may touch or play with exposed wires.
C. Encouraging outdoor activities between 1100 and 1300 may expose toddlers to the sun during peak hours, increasing the risk of sunburns, but it does not directly address burn prevention.
D. Turning pot handles toward the front of the stove helps prevent toddlers from reaching up and pulling hot pots down, reducing the risk of burns. While a good safety measure, it is not as directly related to burn prevention as hiding electrical wires.
Correct Answer is D
Explanation
A. Offering sips of water 4 hours following surgery may be too early and could increase the risk of aspiration in the immediate postoperative period.
B. Ambulation 12 hours following surgery may not be appropriate depending on the extent of the surgery and the patient's condition. It's important to follow physician orders regarding activity and mobilization.
C. Maintaining the head of the bed at a 30° angle may help prevent respiratory complications but is not specific to scoliosis repair with spinal instrumentation.
D. Logrolling the adolescent every 2 hours helps to prevent complications such as pressure ulcers and maintains proper alignment of the spine postoperatively.
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