A nurse is providing discharge teaching to a parent of a child who has juvenile idiopathic arthritis and a new prescription for prednisone. Which of the following statements should the nurse include in the teaching?
"Limit your child's intake of potassium-rich foods."
"Monitor your child for indications of infection."
"Expect that this medication will stimulate a growth spurt."
"Discontinue this medication if gastrointestinal upset occurs."
The Correct Answer is B
A. Some corticosteroids can affect potassium levels, prednisone typically doesn't cause significant potassium loss. Therefore, limiting potassium-rich foods is unnecessary.
B. Prednisone suppresses the immune system, increasing the risk of infection. Therefore, it's crucial to monitor for signs of infection, such as fever, sore throat, or unusual discharge.
C. While growth spurts are common in childhood, prednisone doesn't directly cause them.
D. Gastrointestinal upset can be a side effect of prednisone, but abruptly stopping the medication can be harmful. The parent should contact the healthcare provider if this occurs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Logrolling is a specific turning technique used to maintain spinal alignment post-operatively. It requires two nurses to prevent injury to the spine.
B. While elevating the head of the bed is important to prevent respiratory complications, a 30° angle is too high for a patient with spinal instrumentation. A lower angle is typically recommended to maintain spinal alignment.
C. Early ambulation is encouraged after surgery, but 12 hours is too soon. The adolescent will likely be on bed rest for several days to allow the fusion to stabilize.
D. Clear liquids are often introduced earlier than 4 hours post-surgery, once bowel sounds return and there is no evidence of nausea or vomiting.
Correct Answer is B
Explanation
A. While witnessing the signature is part of the process, addressing the guardian's lack of understanding is more important at this point.
B. The provider who will perform the procedure is best equipped to explain the medical necessity of the cardiac catheterization to the guardian. They can address the guardian's concerns and ensure informed consent.
C. While the anesthesiologist is part of the care team, they may not be as knowledgeable about the specific reasons for the procedure as the performing provider.
D. Nurses should not provide medical diagnoses or explanations for procedures. This is the role of the healthcare provider.
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