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The nurse is doing discharge teaching with the parent of an asthmatic child who will be going home on steroids. Which of these comments by the parent would indicate an accurate understanding of discharge teaching regarding these medications?

My child may need to take a gastric acid suppressor while taking steroids.

Prolonged steroid use may lead to addiction.

Prolonged steroid use causes children to grow prematurely tall because they enhance growth.

Steroids cause weight loss and dehydration in children because they cause type 1 diabetes.

Answer and Explanation

The Correct Answer is C

a) The need for a gastric acid suppressor is not a common consideration when taking steroids.

b) Prolonged steroid use does not typically lead to addiction.

c) Prolonged steroid use, particularly in children, may lead to enhanced growth and potentially premature tall stature.

d) Steroids may cause weight gain rather than weight loss, and they do not typically cause type 1 diabetes.

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Correct Answer is C

Explanation

A) Gradually reducing the prescribed dose of an antiepileptic like phenytoin without consulting the healthcare provider can lead to increased seizure activity. This is not a recommended self care measure.

B) Expecting green urine is not associated with phenytoin. This statement is not accurate.

C) Phenytoin can cause gingival hyperplasia and other oral health issues. Emphasizing good oral hygiene practices, such as brushing after every meal and flossing daily, is crucial.

D) Instilling mineral oil into both ears is not a self-care measure related to phenytoin.

A. Check the pulse after taking the medication. B. Take the medication before eating. C. Limit your caffeine intake. D. Rinse your mouth after inhaling the medicine.

Correct Answer is D

Explanation

a) Checking the pulse is not directly related to the use of inhaled steroids. It's important for assessing certain medications, but not for inhaled steroids.

b) Taking the medication before eating is not a specific recommendation for inhaled steroids. It's more important to follow the specific instructions provided for the particular medication.

c) Limiting caffeine intake is not a standard recommendation for the use of inhaled steroids. This action is not directly related to potential complications with these medications.

d) Rinsing the mouth after inhaling the medicine is crucial to prevent the development of oral candidiasis, a common complication associated with inhaled steroids.

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The nurse is doing discharge teaching with the parent of an asthmatic child who will be going home on steroids. Which of these comments by the parent would indicate an accurate understanding of discharge teaching regarding these medications?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of these self-care measures should be emphasized in client education regarding phenytoin?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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