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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Free Nursing Study Resources

Correct Answer is ["A","B","C","D"]

Explanation

A. Change diapers frequently. Frequent diaper changes reduce prolonged contact with moisture, decreasing the risk of dermatitis.
B. Allow the buttocks to air-dry. Air-drying helps to keep the skin dry and allows it to heal, preventing further irritation.
C. Use commercial baby wipes that are free of alcohol and fragrances to cleanse the area. Alcohol and fragrance-free wipes minimize further irritation to the sensitive skin.
D. Apply zinc oxide ointment to the affected area. Zinc oxide creates a protective barrier that helps heal and protect the skin from moisture and irritants.
E. Apply talcum powder with every diaper change. Talcum powder is not recommended as it can be inhaled by the infant and may cause respiratory issues.

A. Keep edematous areas moist and covered. B. Reach the child to minimize body movement C. Change the child's position frequently. D. Keep the head of the child's bed flat.

Correct Answer is C

Explanation

A. Keep edematous areas moist and covered. Keeping edematous areas moist and covered can worsen edema by trapping moisture and heat, leading to increased swelling.
B. Reach the child to minimize body movement. Minimizing body movement is not appropriate as it can lead to muscle weakness and stiffness. Encouraging gentle movement and position changes is beneficial.
C. Change the child's position frequently. Changing the child's position frequently helps prevent complications such as pressure ulcers and improves circulation, which can aid in reducing edema.
D. Keep the head of the child's bed flat. Elevating the head of the bed can help reduce edema by promoting venous return and reducing fluid accumulation in dependent areas.

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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 with admitting an infant who has diaper dermatitis. Which of the following actions should the nurse plan to take? (Select All that Apply.)

Correct Answer is ["A","B","C","D"]

Explanation

What is an appropriate intervention for the edematous child with reduced mobility related to nephrotic syndrome?

Correct Answer is C

Explanation

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