A nurse is reinforcing teaching with a parent of a child who has a new prescription for a budesonide inhaler. Which of the following adverse reactions should the nurse include in the teaching?
Short stature
Weight loss
Oral candidiasis
Peptic ulcer
The Correct Answer is C
A. Short stature: Short stature is not a common adverse effect of budesonide when used as an inhaler. However, long-term use of inhaled corticosteroids in children may have a small effect on growth, but it is not a primary concern with budesonide.
B. Weight loss: Weight loss is not associated with the use of an inhaled corticosteroid like budesonide. Weight gain or fluid retention may be more common with systemic steroids, but this is less of a concern with inhaled forms.
C. Oral candidiasis: Oral candidiasis (thrush) is a known side effect of inhaled corticosteroids, including budesonide. This occurs due to the medication's impact on the oral mucosa, which can promote fungal growth. To reduce the risk, the child should rinse their mouth after using the inhaler.
D. Peptic ulcer: Peptic ulcers are more commonly associated with systemic corticosteroids, not with inhaled corticosteroids like budesonide. Although systemic absorption can occur, the risk for ulcers is significantly lower with inhaled forms compared to oral or injected steroids.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Edema: Edema can occur with heart failure, but it is not specifically an indication of digoxin toxicity. Digoxin helps improve heart function and reduce edema, so it is not a direct sign of toxicity.
B. Jaundice: Jaundice may indicate liver dysfunction, but it is not a common sign of digoxin toxicity. Liver function issues can arise from various causes, but jaundice is not typically associated with digoxin toxicity.
C. Purulent sputum: Purulent sputum suggests an infection, such as pneumonia, and is not related to digoxin toxicity. This symptom requires further evaluation for respiratory infections, not digoxin-related issues.
D. Bradycardia: Bradycardia (a slow heart rate) is a classic sign of digoxin toxicity. Digoxin can slow the heart rate by affecting the electrical conduction system of the heart, and bradycardia is a key indicator of overdose or toxicity in infants and children taking this medication.
Correct Answer is D
Explanation
A. Collect a stool specimen for occult blood: A stool specimen for occult blood is typically used to check for hidden blood in the stool, which might suggest conditions like gastrointestinal bleeding or certain infections. It is not the primary test for diagnosing C. difficile infection.
B. Draw a blood culture: Blood cultures are used to identify bacteria or other pathogens in the blood, but they are not appropriate for diagnosing Clostridium difficile infection, which primarily affects the gastrointestinal system.
C. Conduct a tape test: A tape test is used for diagnosing pinworm infections, not for Clostridium difficile. It involves placing a piece of tape on the child's anal area to collect eggs for examination under a microscope. It is not relevant to the suspicion of C. difficile.
D. Obtain a stool specimen for culture: The most appropriate action is to collect a stool specimen for culture to identify C. difficile. The diagnosis of C. difficile infection is typically confirmed by stool testing, which may include testing for toxins produced by the bacteria.
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