The nurse is teaching a parent about the side effects of prednisone. Which statement should be included in the information?

The child may develop painful joints for a few weeks.

The child may have a decrease in appetite.

The child may have a yellow tinge to the whites of the eyes.

The child may develop a round face.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Painful joints are not a common side effect of prednisone. Prednisone can cause musculoskeletal issues, but painful joints are not a prominent manifestation.

Choice B rationale:

A decrease in appetite is a possible side effect of prednisone. However, it's not the focus of this question, as other choices are more relevant.

Choice C rationale:

A yellow tinge to the whites of the eyes (jaundice) is not a commonly associated side effect of prednisone. Jaundice is usually linked to liver dysfunction or other conditions affecting bilirubin metabolism.

Choice D rationale:

A round face, often referred to as "moon face,”. is a well-recognized side effect of prednisone. It occurs due to fluid retention and fat redistribution, leading to a characteristic facial appearance.

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Correct Answer is A

Explanation

Choice A rationale:

Children with nephrotic syndrome are at an increased risk of infection due to loss of immunoglobulins and other immune-related proteins in the urine, along with the use of immunosuppressive medications. The proteinuria associated with nephrotic syndrome leads to hypoalbuminemia and decreased immunity, making the child susceptible to infections, particularly bacterial peritonitis. Preventive measures include proper hand hygiene, maintaining a clean environment, and timely administration of prescribed antibiotics.

Choice B rationale:

Hypertension is not a primary complication of nephrotic syndrome in children. While they may have fluid retention and edema, resulting in increased blood pressure, infection is a more significant concern.

Choice C rationale:

Weight loss is not a typical complication of nephrotic syndrome but rather the opposite. Children with nephrotic syndrome often experience weight gain due to fluid retention and edema.

Choice D rationale:

Hyperkalemia is a possible electrolyte imbalance in nephrotic syndrome, but it is not a primary concern for children with this condition. The loss of protein in the urine can lead to hypoalbuminemia and subsequent edema, but hyperkalemia is not a common initial complication.

A. Examining for the presence of any flexion of the hips when the infant is lying on the abdomen. B. Extension of the legs while stimulating the infant to exhibit the stepping reflex. C. Negative Babinski reflexes of both feet. D. Asymmetrical gluteal folds and unequal leg length.

Correct Answer is D

Explanation

Choice A rationale:

Examining for the presence of any flexion of the hips when the infant is lying on the abdomen is a method to assess for Ortolani and Barlow signs, which indicate hip dislocation, not hip dysplasia.

Choice B rationale:

Extension of the legs while stimulating the stepping reflex is a normal developmental response and is not specific to hip dysplasia.

Choice C rationale:

The Babinski reflex is related to neurological development and not directly linked to hip dysplasia.

Choice D rationale:

Asymmetrical gluteal folds and unequal leg length are common findings in congenital hip dysplasia. Hip dysplasia involves improper formation of the hip joint, leading to instability and deformity of the hip socket, which can result in these physical characteristics.

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The nurse is teaching a parent about the side effects of prednisone. Which statement should be included in the information?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An 8-year-old who is receiving treatment for nephrotic syndrome should have a plan of care for the reduction of the risk for which complication?

Correct Answer is A

Explanation

A 2-week-old infant is seen in the well-baby clinic. As a nurse is assessing the client, which finding would present as a sign of congenital hip dysplasia?

Correct Answer is D

Explanation

If the pancreatic enzymes are having the desired effect for a patient with cystic fibrosis, the nurse should expect to make which observation?

A 16-month-old patient being seen at the clinic has a fever and a diagnosis of bilateral otitis media. Which comment by the mother is most likely related to the patient's diagnosis?

The nurse is to record the intake and output of a 2-year-old patient. The patient is not toilet trained. Which measure would be most appropriate to include in the patient's plan of care?

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