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.
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Related Questions
Correct Answer is B
Explanation
A. Rotavirus vaccination is typically given in infancy, usually starting at 2 months of age, so it would not be administered to a 5-year-old child who is already up-to-date with the immunization schedule.
B. Varicella (chickenpox) vaccine is routinely administered around 12-15 months of age with a booster dose typically given between 4-6 years of age. Therefore, a 5- year-old child would receive the booster dose if not already administered.
C. Haemophilus influenzae type b (Hib) vaccine is usually completed by 15 months of age, so it would not be administered to a 5-year-old child who is already up-to- date with the immunization schedule.
D. Hepatitis B vaccine is typically administered at birth, 1-2 months, and 6-18 months of age, so a 5-year-old child who is up-to-date with immunizations would have already received the series.
Correct Answer is D
Explanation
A. Providing a warm blanket can help alleviate discomfort associated with fever and chills, which are common symptoms of varicella.
B. Koplik spots are seen in measles, not varicella.
C. Aspirin administration is contraindicated in varicella due to the risk of Reye's syndrome. Acetaminophen or ibuprofen may be used for fever.
D. Varicella is spread through respiratory droplets, so standard precautions are typically sufficient. Airborne precautions are necessary to prevent transmission.
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