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 B

Explanation

A. While clear chicken broth can provide some hydration, it does not contain the necessary electrolytes to replace losses effectively.

B. Initiating oral rehydration therapy is critical for managing dehydration due to diarrhea and is the best approach for a child in this situation.

C. Starting a hypertonic solution is inappropriate and could lead to further dehydration or electrolyte imbalances.

D. Keeping the child NPO is not necessary; it is more important to maintain hydration and possibly offer oral rehydration solutions.

A. Respiratory B. Airborne C. Bleeding D. Contact

Correct Answer is C

Explanation

A. Respiratory precautions are necessary for preventing the spread of respiratory infections but are not specifically indicated here.

B. Airborne precautions are required for diseases transmitted through the air (e.g., TB), not relevant in this scenario.

C. Bleeding precautions should be initiated due to the critically low platelet count, as this increases the risk of bleeding complications. Nurses should be vigilant in monitoring for signs of bleeding and minimizing invasive procedures.

D. Contact precautions are important for preventing the spread of infections, but in this case, the primary concern is bleeding due to low platelet counts.

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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 caring for a year old child who has had watery diarrhea for the past 3 days. Which of the following is the most appropriate action for the nurse to take?

Correct Answer is B

Explanation

A nurse is admitting a child who has sepsis and a critically low platelet count. Based on this information which of the following precautions should the nurse initiate?

Correct Answer is C

Explanation

A nurse is reviewing the discharge plan with the family of an 8 year child with acute lymphoblastic leukemia who is receiving chemotherapy through a central venous access device. Which statement by the parent indicates the need for further teaching?

The nurse is caring for a child with leukemia, a central venous access device, and chemotherapy-induced immunosuppression. Which of the following SHOULD NOT be included in the teaching plan for the child and parents about reducing the child's risk for infection? Select all that apply

A nurse is preparing to discharge a child who has a new prescription for an oral antibiotic. Which of following information should the nurse include in the discharge instructions? (Select all that apply.)

The nurse is reviewing a health care provider's prescriptions for a child with sickle cell anemia who was admitted to the hospital for the treatment of vaso- occlosive crisis which prescription documented in the child's chart should the nurse question?

Which cause of pediatric enuresis must be ruled out before psychological causes are investigated? Select all that apply.

A nurse is teaching a parent of a child who has hemophilia how to control a minor bleeding episode. Which of the following statements by the parent indicates a need for further teaching?

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