A patient is started on prednisone therapy. Which of these goals should be given priority in the patient's plan of care?

The patient will maintain a moist oral mucosa.

The patient will increase physical mobility.

The patient will remain free of infection.

The patient will ingest a moderate potassium diet.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

While maintaining a moist oral mucosa is important, preventing infection takes precedence, as infections can lead to serious complications and compromise overall health.

Choice B rationale:

Increasing physical mobility is a valid goal, but infection prevention is more critical, especially when starting prednisone therapy, which can weaken the immune response.

Choice C rationale:

The priority lies in keeping the patient free of infection. Prednisone can suppress the immune system, making the patient more susceptible to infections that can have severe consequences.

Choice D rationale:

Ingesting a moderate potassium diet is important, but the prevention of infection takes precedence due to the potential for serious health risks associated with compromised immunity.

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Correct Answer is B

Explanation

Choice A rationale:

Absence of bowel sounds is not a priority in this situation as it is common for bowel sounds to be absent temporarily after surgery due to anesthesia and decreased peristalsis. It should be monitored, but it doesn't require immediate nursing action.

Choice B rationale:

A pulse rate of 150 per minute is a significant finding in a 10-year-old patient after surgery. Tachycardia can indicate pain, anxiety, hypovolemia, or other postoperative complications. Immediate nursing action is required to assess the cause and initiate appropriate interventions.

Choice C rationale:

Blood-tinged urine from the ureteral catheter might be expected after a surgical procedure involving the urinary system. While it requires monitoring, it is less urgent than addressing a high pulse rate in a postoperative child.

Choice D rationale:

Serosanguineous drainage on the incisional dressing is a normal finding in the immediate postoperative period. It indicates minor oozing of blood mixed with serous fluid. While it requires monitoring, it is not as concerning as the elevated pulse rate.

A. Hypercalcemia. B. Hypokalemia. C. Hypocalcemia. D. Hyperkalemia.

Correct Answer is B

Explanation

Choice A rationale:

Hypercalcemia refers to high calcium levels in the blood, and it is not a common complication associated with furosemide use. Furosemide primarily affects electrolytes like potassium.

Choice B rationale:

Furosemide is a loop diuretic that can lead to excessive potassium loss through urine, potentially causing hypokalemia (low potassium levels). Monitoring potassium is crucial to prevent complications like muscle weakness and cardiac arrhythmias.

Choice C rationale:

Hypocalcemia, which is low calcium levels, is not a typical complication of furosemide use. Furosemide's primary impact is on sodium and potassium balance.

Choice D rationale:

Hyperkalemia is the opposite of what furosemide commonly causes. Furosemide-induced diuresis often leads to hypokalemia, not hyperkalemia.

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A patient is started on prednisone therapy. Which of these goals should be given priority in the patient's plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 10-year-old patient has returned to her room after a surgical procedure. Which observation should take priority for nursing action?

Correct Answer is B

Explanation

When a child is receiving furosemide twice a day, for which complication should a nurse monitor closely?

Correct Answer is B

Explanation

A 9-year-old child who weighs 30 kg has assessment findings of 200 mL of urine in 24 hours, creatinine 4.0 mg/dL, and blood urea nitrogen of 23 mg/dL. What is the priority nursing intervention?

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A 3-week-old patient is hospitalized for surgical repair of hypertrophic pyloric stenosis. On the third postoperative day, the mother expresses concern that her infant vomited approximately one-fourth of his feeding. Which response by the nurse would be most appropriate at this time?

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The nurse is exploring strategies to help a patient with multiple allergies to have less frequent and less severe exacerbations of his asthma. Which strategy is most appropriate for the nurse to teach the family?

Which statement indicates a child's family needs further instruction about the postoperative care following a pyloromyotomy?

A patient is to be discharged in a plaster spica cast. Which statement would indicate the need for further teaching with the patient's parent?