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”
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","F"]
Explanation
A. Small bladder capacity can contribute to enuresis but may not need to be ruled out before addressing psychological factors.
B. Urinary tract infections can cause enuresis and should be evaluated and treated before investigating psychological causes.
C. Stress incontinence typically refers to the involuntary loss of urine due to pressure and may be a psychological factor rather than a physiological cause.
D. Regression can be a behavioral response but is not a medical cause that needs to be ruled out.
E. Cognitive dysfunction can contribute to enuresis but is not primarily a medical cause that needs to be ruled out.
F. Diabetes mellitus can lead to increased urination (polyuria) and should be evaluated as a potential medical cause before considering psychological factors.
Correct Answer is D
Explanation
A. Constipation can occur but is not a direct symptom of sickle cell crisis; it’s more related to hydration and diet.
B. High fever may occur due to infection, but it is not a guaranteed finding in every sickle cell crisis.
C. Bradycardia is not typically associated with sickle cell crisis; tachycardia is more common due to pain and stress.
D. Pain is the hallmark symptom of a sickle cell crisis due to vaso-occlusive episodes leading to ischemia and tissue damage.
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