A child with nephrotic syndrome is being treated with prednisone to reduce proteinuria and edema. The nurse is aware that prednisone belongs to what medication classification?
ACE inhibitor
Loop diuretics
Corticosteroids
NSAIDs
The Correct Answer is C
A. ACE inhibitor: ACE inhibitors are used to manage hypertension or proteinuria but are not the classification for prednisone.
B. Loop diuretics: Loop diuretics (e.g., furosemide) manage edema but are unrelated to prednisone.
C. Corticosteroids: Prednisone is a corticosteroid that reduces inflammation and suppresses the immune response, which helps decrease proteinuria in nephrotic syndrome.
D. NSAIDs: NSAIDs are anti-inflammatory but are not used for treating nephrotic syndrome as they do not reduce proteinuria or edema.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Orally: Oral temperature measurement is generally not suitable for a 1-year-old because they are often not able to cooperate, but it is not contraindicated for the child.
B. Tympanic: Tympanic (ear) temperature measurement is acceptable in children over 3 months old and is non-invasive.
C. Rectal: Rectal temperature should be avoided in infants and toddlers with diarrhea due to the risk of rectal trauma and infection. Diarrhea may also cause irritation to the rectal area, increasing the risk of injury.
D. Axillary: Axillary (underarm) temperature measurement is safe and commonly used in children, particularly for non-invasive monitoring.
Correct Answer is A
Explanation
A. Air or Barium enema: This is both diagnostic and therapeutic. The enema can reduce the intussusception by relieving the telescoping of the bowel.
B. IV fluids until spasm subsides: While IV fluids are used to manage dehydration, they do not resolve intussusception.
C. Immediate surgery: Surgery is reserved for cases where enemas are unsuccessful or complications like perforation occur.
D. Gastric gavage: This is not related to treating intussusception and does not address the underlying issue.
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