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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 A

Explanation

a) St. John's Wort is known to increase the risk of bleeding, especially when used with anticoagulant medications. This effect is particularly concerning and may require adjustments in the treatment plan.

b) While St. John's Wort can interact with various drugs, increasing the risk of bleeding is a more immediate concern.

c) St. John's Wort does not counteract the effects of CNS depressants; it may actually enhance the effects of these drugs.

d) St. John's Wort is known to induce the metabolism of some drugs, potentially reducing their effectiveness, but this is not as immediately concerning as the risk of bleeding.

A. Stop all antibiotics and implement strict use of alcohol-based hand sanitizer. B. Discontinue the cephalosporin and call the provider to recommend vancomycin or metronidazole. C. Call the provider to request an additional antibiotic to override the effects of the cephalosporin. D. Increase the dose of cephalosporin and provide isolation measures.

Correct Answer is B

Explanation

a) Stopping all antibiotics and implementing strict use of alcohol-based hand sanitizer is not the appropriate response to the observed symptoms. The focus should be on addressing the potential infection.

b) The symptoms suggest the possibility of Clostridium difficile infection, and discontinuing the cephalosporin is crucial. Vancomycin or metronidazole is commonly used to treat C. difficile infection.

c) Requesting an additional antibiotic to override the effects of the cephalosporin is not the appropriate course of action. The focus should be on discontinuing the causative antibiotic.

d) Increasing the dose of cephalosporin is contraindicated in the presence of suspected C. difficile infection. Isolation measures may be implemented, but the priority is discontinuing the causative antibiotic and initiating appropriate treatment for the infection.

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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

The nurse is obtaining a history from a client who discloses daily use of St. John's Wort in addition to prescription drugs. Which effect of this dietary supplement would most concern the nurse?

Correct Answer is A

Explanation

A client receiving a cephalosporin has passed six distinct-smelling, unformed stools in the first 6 hours of the nurse's shift. What is the nurse's best action?

Correct Answer is B

Explanation

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