A nurse is assessing a school-age child who is receiving prednisolone. For which of the following adverse effects should the nurse monitor?

Stevens-Johnson syndrome

Prolonged wound healing

Hypotension

Renal failure

Answer and Explanation

The Correct Answer is B

D.   Renal failure Correct Answer: B Rationale:
A.   Stevens-Johnson syndrome is a severe allergic reaction that can occur with various medications, but it is not a common adverse effect of prednisolone.
B.   Prolonged wound healing is a potential adverse effect of corticosteroids like prednisolone due to their immunosuppressive effects.
C.   Hypotension is not a common adverse effect of prednisolone; rather, it can cause fluid retention and hypertension.
D.   Renal failure is a rare adverse effect of prednisolone and is not typically monitored for in school-age children unless there are preexisting renal issues.

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Correct Answer is D

Explanation

A. Visual acuity should be assessed for each eye separately first, then both eyes together to detect any differences between the eyes.
B. The nurse should position the child 3 meters (10 feet) from the chart and ask the child to point in the direction of the open end of each letter.
C. If the child wears glasses, they should be tested with and without their glasses to assess visual acuity accurately.
D. A tumbling E chart, where the child identifies the direction of the E (up, down, left, or right), is commonly used for assessing visual acuity in young children who may not yet know letters.

A. Administer vaccines prior to discharge. B. Avoid raw fruits and vegetables in the child's diet. C. Bathe the child every other day. D. Obtain the child's rectal temperature once daily.

Correct Answer is B

Explanation

Rationale:
A. Administering vaccines prior to discharge may be contraindicated in a child with neutropenia due to the risk of infection from live vaccines.
B. Avoiding raw fruits and vegetables helps reduce the risk of exposure to harmful bacteria or pathogens that could lead to infection in a child with neutropenia, as their immune system is compromised.
C. Bathing the child every other day is a general hygiene practice and does not specifically address the risk of infection associated with neutropenia.
D. Obtaining the child's rectal temperature once daily is a routine assessment and does not directly address the risk of infection associated with neutropenia.

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A nurse is assessing a school-age child who is receiving prednisolone. For which of the following adverse effects should the nurse monitor?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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