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?

“Discontinue this medication if gastrointestinal upset occurs.”

“Limit your child’s intake of potassium-rich foods.”

“Expect that this medication will stimulate a growth spurt.”

Monitor your child for indications of infection.”

Answer and Explanation

The Correct Answer is D

A.   Instructing the parent to discontinue prednisone if gastrointestinal upset occurs is not appropriate, as abrupt discontinuation of corticosteroids can lead to adrenal insufficiency. Monitoring for and managing gastrointestinal upset while continuing the medication as prescribed is more appropriate.
B.   Limiting intake of potassium-rich foods is not specifically indicated with prednisone therapy. Prednisone may increase the risk of potassium loss, but dietary adjustments should be made under medical guidance.
C.   Prednisone can affect growth in children, but it is more commonly associated with slowing growth rather than stimulating a growth spurt. This statement is misleading and not accurate.
D.   Monitoring the child for indications of infection is crucial when taking prednisone, as corticosteroids can suppress the immune system and increase susceptibility to infections. This statement addresses an important aspect of medication safety and is the priority in discharge teaching.

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Correct Answer is A

Explanation

A. Applying pressure just above the insertion site helps to control bleeding by compressing the vessel and promoting hemostasis.
B. Monitoring the pulse distal to the insertion site is important but should occur after controlling the bleeding.
C. Obtaining vital signs is important but does not address the immediate need to control bleeding.
D. Reinforcing the dressing may be necessary after controlling the bleeding but is not the first action to take.

A. "You should cut and file your child's fingernails frequently." B. "You should use a mild detergent for your child's laundry." C. "You should apply a thick layer of pimecrolimus cream to your child's lesions." D. "Your child will experience occasional flare-ups of this condition." E. "Your child's condition is contagious when lesions are present." F. "You can apply gloves to your child's hands." G. "You should apply emollients to your child's skin after bathing.

Correct Answer is ["A","B","D","F","G"]

Explanation

A. Cutting and filing the child's fingernails frequently can help prevent excessive scratching and further damage to the skin.
B. Using a mild detergent reduces the risk of skin irritation and exacerbation of atopic dermatitis.
C. Pimecrolimus cream should be applied thinly, not in a thick layer, to the affected areas to avoid potential side effects.
D. Atopic dermatitis tends to have periodic flare-ups, so it's important to inform the guardian about this aspect of the condition.
E. Atopic dermatitis itself is not contagious, although the child may be prone to skin infections if lesions are present.
F. Applying gloves to the child's hands can prevent scratching and further skin damage.

G. Emollients help to moisturize the skin and improve its barrier function, which is important in managing atopic dermatitis.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a child who is 2 hr postoperative following a cardiac catheterization and finds the dressing is saturated with blood. Which of the following actions should the nurse take first?

Correct Answer is A

Explanation

A nurse in the emergency department is preparing to discharge a 3-year-old child. Exhibits Which of the following statements should the nurse plan to include in the discharge instructions for the child’s guardian? Select all that apply.

Correct Answer is ["A","B","D","F","G"]

Explanation

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