It is now recommended that children with asthma who are taking long-term inhaled steroids should be assessed frequently to monitor for increased risk of:

Cough

Osteoporosis

Slowed growth

Cushing’s syndrome

Answer and Explanation

The Correct Answer is C

Children with asthma who are taking long-term inhaled steroids should be assessed frequently to monitor for this increased risk because some studies have shown a growth delay in children treated with moderate to high doses of inhaled steroids. This appears to occur only during the first year of treatment and may be reversible.

Choice A is wrong because cough is not a side effect of inhaled steroids, but a symptom of asthma itself.

Choice B is wrong because osteoporosis is not a common side effect of inhaled steroids in children, but a possible risk for adults who use high doses of inhaled steroids or oral steroids.

Choice D is wrong because Cushing’s syndrome is not a side effect of inhaled steroids, but a rare complication of oral steroids.

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Correct Answer is A

Explanation

choice A.

Infant of an Rh-negative mother and a father who is Rh-positive and homozygous for the Rh factor.

Rh incompatibility occurs when a woman is Rh-negative and her baby is Rh-positive. This can cause hemolytic disease of the neonate (HDN), a condition where the mother’s antibodies destroy the baby’s red blood cells.

Choice B is wrong because if both the mother and the baby are Rh-negative, there is no risk of Rh incompatibility.

Choice C is wrong because if the father is heterozygous for the Rh factor, there is a 50% chance that the baby will be Rh-negative and not affected by Rh incompatibility.

Choice D is wrong because if both the mother and the baby are Rh-positive, there is no risk of Rh incompatibility.

A. Explain how SIDS could have been predicted and prevented. B. Interview parents in-depth concerning the circumstances surrounding the infant’s death. C. Discourage parents from making a last visit with the infant. D. Make a follow-up home visit to parents as soon as possible after the infant’s death.

Correct Answer is D

Explanation

choice D. Make a follow-up home visit to parents as soon as possible after the infant’s death. This is because a competent, qualified professional should visit the family at home as soon as possible after the death and provide the family with printed information about SIDS.

Choice A is wrong because explaining how SIDS could have been predicted and prevented is inappropriate.

SIDS cannot be prevented or predicted. Discussions about the cause will only increase parental guilt.

Choice B is wrong because the parents should be asked only factual questions to determine the cause of death. Interviewing parents in-depth concerning the circumstances surrounding the infant’s death may be intrusive and stressful.

Choice C is wrong because parents should be allowed and encouraged to make a last visit with their infant. Discouraging parents from making a last visit with the infant may deprive them of an opportunity to say goodbye and grieve.

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It is now recommended that children with asthma who are taking long-term inhaled steroids should be assessed frequently to monitor for increased risk of:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which infant would be more likely to have Rh incompatibility?

Correct Answer is A

Explanation

What is an important nursing responsibility when dealing with a family experiencing the loss of an infant from sudden infant death syndrome (SIDS)?

Correct Answer is D

Explanation

The nurse is performing an assessment on a child and notes the presence of Koplik’s spots. In which communicable disease are Koplik’s spots present?

What should a nurse advise the parents of a child with type 1 diabetes mellitus who is not eating as a result of a minor illness?

The nurse is assessing a child with acute epiglottitis. Examining the child’s throat by using a tongue depressor might precipitate which symptom or condition?

A nurse is conducting discharge and teaches parents about the care of their infant after cardiac surgery. The nurse instructs the parents to notify the physician if the conditions occur. (Select all that apply.)

Which data would be included in a health history? (Select all that apply.).

Nurses can prevent evaporative heat loss in the newborn by:

The nurse is caring for an infant with suspected pyloric stenosis. Which clinical manifestation would indicate pyloric stenosis?