Which intervention is appropriate for a child receiving a high dose of steroids?

Decrease the amount of potassium in the diet

Administer non-live virus vaccine

Limit activity and receive home schooling

Monitor for seizure activity

Answer and Explanation

The Correct Answer is B

a) Decrease the amount of potassium in the diet: Steroids can increase potassium loss, so restricting potassium intake is unnecessary and could potentially exacerbate hypokalemia.

b) Administer non-live virus vaccine: Generally acceptable as live-virus vaccines are contraindicated in individuals receiving high-dose steroids due to the risk of developing infections.

c) Limit activity and receive home schooling: While rest might be needed in some situations, home schooling might not always be necessary.

d) Monitor for seizure activity: While monitoring for adverse effects is important, it is not specifically related to the use of high-dose steroids.

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Correct Answer is A

Explanation

a) A 3-week-old infant born at 35 weeks’ gestation with gastroenteritis: Premature infants are more vulnerable to complications, and gastroenteritis can lead to dehydration, which can be critical for a newborn.

b) A term 2-week-old infant of American Indian descent with an upper respiratory infection: While concerning, it might not pose an immediate threat of mortality compared to conditions affecting premature infants.

c) A post-term 4-week-old infant, Black descent, with moderate emesis after feeding: Vomiting after feeding might indicate various issues but might not immediately suggest a high risk of mortality.

d) A 1-week:old infant born at 40 weeks’ gestation with symptoms of cough: Cough alone might not indicate severe conditions in a newborn.

A. High fever B. Nausea and vomiting C. Abdominal pain D. Abdominal distension E. Costovertebral angle tenderness

Correct Answer is ["A","B","C","E"]

Explanation

a) High fever: Commonly associated with upper urinary tract infections such as pyelonephritis.

b) Nausea and vomiting: These symptoms often accompany pyelonephritis due to the systemic inflammatory response.

c) Abdominal pain: It's a common symptom of pyelonephritis due to the kidney involvement.

d) Abdominal distension: This symptom is less typically associated with pyelonephritis.

e) Costovertebral angle tenderness: Often present in pyelonephritis due to kidney inflammation.

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Which intervention is appropriate for a child receiving a high dose of steroids?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The telephone triage nurse at a pediatric clinic knows each call is important. Which call would require attentiveness from the nurse because of an increased risk for mortality?

Correct Answer is A

Explanation

A 14 year old female presents to the clinic with possible upper UTI (pyelonephritis). What symptoms would you expect to see with this diagnosis?

Correct Answer is ["A","B","C","E"]

Explanation

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