When caring for a child on steroid therapy, it is important to seek immediate medical attention if the child:
skips a meal.
develops a fever.
loses her hair.
vomits.
The Correct Answer is B
A. Skips a meal: Skipping a meal is not dangerous in itself, though it may cause temporary discomfort.
B. Develops a fever: Steroids suppress the immune system; fever may indicate a serious infection, requiring prompt medical evaluation.
C. Loses her hair: Hair loss may occur, but it is not an emergency.
D. Vomits: Vomiting is a concern if persistent but is not the most urgent issue compared to fever in an immunosuppressed child.
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Related Questions
Correct Answer is C
Explanation
A. Tell the parent that the child must stay in the tent. This lacks empathy and may increase the child’s anxiety. Forcing a frightened child to stay in the tent may worsen distress and respiratory symptoms.
B. Call the pediatrician and obtain a prescription for a mild sedative. Sedation is not a first-line intervention in a child with croup and can depress respiratory effort-potentially dangerous.
C. Let the parent hold the child and direct the cool mist over the child's face. This maintains the therapeutic effect of the mist while providing comfort and reducing distress, which helps prevent worsening of symptoms like stridor.
D. Place a toy in the tent to make the child feel more comfortable. While toys can distract, this does not address the child’s distress and desire to be held. It’s not an effective or immediate solution.
Correct Answer is A
Explanation
A. Platelet count of 25,000/mm³: Normal platelet count is 150,000–400,000/mm³. A count of 25,000 indicates severe thrombocytopenia, which can cause spontaneous bleeding, petechiae, and bruising.
B. Leukocyte count of 14,000/mm³: This is mildly elevated and may indicate infection or inflammation but does not explain bleeding symptoms.
C. Hemoglobin level of 8 g/dL: Indicates anemia, which may cause fatigue or pallor, not bleeding or bruising.
D. Hematocrit level of 36%: This is within the normal range for a child and does not correlate with bleeding manifestations.
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