A nurse is providing teaching to the parent of a school-age child who has a maintenance prescription for prednisone following an acute asthma attack. Which of the following statements by the parent indicates an understanding of the teaching?
"My child might experience mood swings."
“I should take my child to the clinic for a weekly blood test."
“I should withhold my child's medication before physical activity."
"My child might have a decreased appetite."
The Correct Answer is A
Rationale:
A. Mood swings are a common side effect of prednisone and indicate an understanding of the potential adverse effects.
B. Routine blood tests are not typically required for children on maintenance prednisone therapy for asthma.
C. Prednisone should not be withheld before physical activity, as it is a maintenance medication for asthma.
D. Decreased appetite is a common side effect of prednisone but is not the best indicator of understanding the teaching.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","F","H"]
Explanation
Rationale:
A.Clients with sickle cell disease are at increased risk for infections, including those caused by pneumococcus. Ensuring vaccination status helps prevent future complications.
B. Folic acid supplementation may be part of the overall management of sickle cell disease, but it is not a priority intervention during a vaso-occlusive crisis.
C. Vaso-occlusive crises can lead to tissue hypoxia due to impaired blood flow.
Continuous monitoring of oxygen saturation helps in assessing tissue perfusion and detecting hypoxemia early.
D. Placing the client on strict bed rest can increase the risk of thrombosis and impair circulation.
E.Cold can cause vasoconstriction, worsening the pain and sickling process. Warm compresses are more appropriate for promoting comfort and improving circulation.
F. Meperidine (Demerol) is a potent opioid analgesic that can help alleviate severe pain associated with vaso-occlusive crises.
G. The nurse should not restrict oral intake, as hydration is important to prevent dehydration and further sickling.
H. Hydroxyurea is used to prevent vaso-occlusive crises in patients with sickle cell disease but is not typically administered during an acute crisis. This is a medication that reduces the frequency and severity of vaso-occlusive crises by increasing the production of fetal hemoglobin, which prevents sickling.
Correct Answer is A
Explanation
Rationale:
A. A toddler who has a heart rate of 68/min is likely to have bradycardia, a slow heart rate that can affect oxygen delivery. Bradycardia could be caused by hypoxia, hypothermia, or cardiac problems. The nurse should report this finding to the provider immediately.
B. This temperature is within the normal range, so it does not require reporting.
C. This blood pressure is within the normal range for an adolescent, so it does not require reporting.
D. The normal respiratory rate for a 3-month-old infant is 25 to 40/min.
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