A child is experiencing an acute exacerbation of Crohn disease for which she is prescribed prednisone. The nurse teaches the parents and child about this medication. Which statement by the parents indicates that the teaching was successful?

"She might lose some weight initially”

“This drug helps to control the abdominal cramping”

"We should not stop this medication abruptly”

"We might notice some of the medication in her stool”

Answer and Explanation

The Correct Answer is C

A. Weight loss may occur with acute exacerbations but is not a guaranteed effect of prednisone therapy.

B. Prednisone does help reduce inflammation but does not directly relieve abdominal cramping; this statement may reflect a misunderstanding of its action.

C. This statement indicates a clear understanding of the need for gradual tapering of prednisone to prevent withdrawal symptoms and rebound exacerbation.

D. Noticing some medication in the stool is not a common or expected effect of prednisone and may indicate a misunderstanding of how the drug works.

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Correct Answer is D

Explanation

A. Back pain may occur but is not typically urgent unless severe; it’s important to monitor but not the priority.

B. Frequent nosebleeds can occur due to dry mucous membranes but are not the most critical symptom to report immediately.

C. Itching of the skin can be managed with moisturizers and does not represent a medical emergency.

D. Feelings of isolation and depression are serious side effects associated with isotretinoin and should be reported immediately due to the risk of self-harm or suicidal thoughts.

A. I can give this medication every 2 hrs for fever B. I can give up to 4000 mg each day by mouth if my child is irritable C. I can give this medication rectally if my child has a fever and is having vomiting D. I will notify the provider notice that the whites of my child's eyes are yellow

Correct Answer is B

Explanation

A. Acetaminophen can be given every 4 to 6 hours, but every 2 hours is too frequent and indicates a need for further teaching.

B. The maximum daily dose for a child should be based on their weight and typically should not exceed 75 mg/kg/day; stating 4000 mg is too high for a child, indicating a misunderstanding of dosing.

C. Administering acetaminophen rectally is appropriate if the child cannot take it orally, particularly during vomiting episodes.

D. Notifying the provider about jaundice is critical, as it may indicate liver dysfunction, which is important when using acetaminophen.

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A child is experiencing an acute exacerbation of Crohn disease for which she is prescribed prednisone. The nurse teaches the parents and child about this medication. Which statement by the parents indicates that the teaching was successful?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a 17-year-old female client who has severe acne about the use of isotretinoin. Which of the following adverse effects should the nurse instruct the client is the priority to report immediately to the provider?

Correct Answer is D

Explanation

A 3 year old child with upper respiratory infection and low-grade fever is being treated with Acetominophen. The nurse is reviewing important anticipatory guidance with the parents which statement by the parents indicates the need for further teaching about this medication?

Correct Answer is B

Explanation

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