The mother of a 5-year-old child taking prednisone for nephrotic syndrome tells the nurse he needs to get immunizations to enter kindergarten. What does the nurse clarify about receiving immunizations while on prednisone?

Require that the child have antibiotic coverage.

Should be delayed.

Can interfere with the treatment for nephrosis.

Can be given in smaller, divided doses.

Answer and Explanation

The Correct Answer is B

A. Require that the child have antibiotic coverage. This answer is incorrect because immunizations do not typically require antibiotic coverage.
B. Should be delayed. Prednisone can suppress the immune response, potentially reducing the effectiveness of vaccines. Therefore, immunizations should be delayed until the child has completed the course of prednisone and their immune system has recovered.
C. Can interfere with the treatment for nephrosis. While prednisone can be part of nephrotic syndrome treatment, immunizations are not known to interfere directly with this treatment.
D. Can be given in smaller, divided doses. This answer is incorrect because the issue isn't about the size or frequency of the vaccine doses but rather about the timing relative to the child's immunosuppressive treatment.

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Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"A"}

Explanation

Pain: Although pain management is important for comfort and to improve quality of life, in this scenario, the child’s pain is rated as a 3 on the FLACC scale, which is moderate. Immediate pain does not seem to be the primary or most urgent concern compared to the high fever and potential underlying conditions.
Bruising: The presence of bruising in various stages of healing and petechiae suggests a possible underlying hematologic issue or trauma. While concerning and needing further investigation, it does not require immediate intervention compared to the fever.
Heart rate: The heart rate is elevated at 150 beats per minute, which could be a response to the fever, pain, or anxiety. Addressing the fever may help in normalizing the heart rate.

Respiratory rate: The respiratory rate is elevated but not critically so (normal for a toddler is 20-30 breaths per minute). There is no increased work of breathing noted, so while monitoring is important, it is not the most immediate priority compared to the fever and lab abnormalities.

Nasal stuffiness: While nasal congestion can be uncomfortable and contribute to respiratory distress, it is not an immediate threat to the child’s health and can be managed after addressing the fever and the concerning laboratory values.

Petechiae: Petechiae are small red or purple spots that can indicate bleeding under the skin and may be associated with a bleeding disorder or infection. However, the underlying cause might be revealed through laboratory investigations, which are prioritized after managing the fever. Immediate intervention for petechiae alone is not usually required unless there is evidence of significant bleeding or other acute symptoms.

A. "Encourage your child to avoid sharing hats with other children." B. "Lice can jump from one child to another." C. "Lice do not survive away from the host." D. "Washing your child's hair daily will prevent lice."

Correct Answer is A

Explanation

A. "Encourage your child to avoid sharing hats with other children." Lice are primarily transmitted through direct head-to-head contact, not by sharing hats or other items.
B. "Lice can jump from one child to another." Lice cannot jump; they crawl from one person to another during direct contact.
C. "Lice do not survive away from the host." Lice can survive away from a host for a limited period (usually less than a day) but not for extended periods.
D. "Washing your child's hair daily will prevent lice." While good hygiene is important, washing hair daily does not necessarily prevent lice infestations.

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The mother of a 5-year-old child taking prednisone for nephrotic syndrome tells the nurse he needs to get immunizations to enter kindergarten. What does the nurse clarify about receiving immunizations while on prednisone?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting in the care of a toddler. Exhibits A nurse is assisting in the care of a client. Complete the following sentence by using the list of options. The nurse should first address the child's dropdown followed by the child's dropdown.

Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"A"}

Explanation

A nurse is reinforcing teaching about lice with the parents of a school-age child at a well-child visit. Which of the following information should the nurse include?

Correct Answer is A

Explanation

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A nurse is reinforcing teaching with a school-age child who has type 1 diabetes mellitus and his parents about illness management. Which of the following instructions should the nurse include?