What is a common side effect of inhaled corticosteroids?

Sores

Hairy tongue

Thrush

Bad breath

Answer and Explanation

The Correct Answer is C

A. Sores may occur from mouth trauma or viral infections but are not a common side effect of inhaled corticosteroids.
B. Hairy tongue is a rare condition usually linked to poor oral hygiene or antibiotic use, not inhaled corticosteroids.
C. Thrush (oral candidiasis) is a common side effect of inhaled corticosteroids. The medication can suppress local immunity in the mouth and throat, allowing Candida (yeast) to overgrow. This is why patients are advised to rinse their mouth after using inhaled corticosteroids.
D. Bad breath may result from dry mouth or infections but is not a primary or common side effect of this medication.

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Correct Answer is D

Explanation

A. Children with CF are at risk for dehydration due to excessive salt loss in sweat, so adequate fluid intake is essential, not restriction.
B. Children with CF require high-calorie, high-fat, and high-protein diets to support growth and compensate for malabsorption. Low-fat, low-protein diets are inappropriate.
C. Sodium loss through sweat is significant in CF, especially in hot weather, so salt intake should not be restricted—in fact, extra salt may be needed.
D. Pancreatic insufficiency in CF leads to malabsorption of fats and proteins. Administering pancreatic enzymes with all snacks and meals aids digestion and improves nutrient absorption, which is essential for growth and weight maintenance.

A. Digoxin must be administered with food. B. Only give if the child's heart rate is less than 60 beats/minute C. Observe for nausea and vomiting D. Re-dose the child if the child vomits the first dose.

Correct Answer is C

Explanation

A. Digoxin does not need to be given with food, and food may actually alter its absorption. It's best given at the same time each day, either with or without food, depending on the provider's recommendation.
B. The heart rate threshold for holding digoxin in children is generally less than 90–110 beats/min in infants and less than 70 in older children, not 60 bpm, which is the adult guideline.
C. Nausea and vomiting are early signs of digoxin toxicity. Parents should be taught to observe for these symptoms and report them immediately.
D. If a child vomits after taking digoxin, the dose should not be repeated, as it is impossible to know how much was absorbed, and repeating could cause toxicity.

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What is a common side effect of inhaled corticosteroids?

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Naxlex Comprehensive Predictor Exams

20. A nurse provides discharge teaching about nutrition to the parents of a child with cystic fibrosis (CF). Which of the following responses by the parents indicates an understanding of the teaching?

Correct Answer is D

Explanation

What anticipatory guidance should you give to the parents of a child who must take digoxin?

Correct Answer is C

Explanation

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