The mother of a 5-year-old child taking prednisone for nephrotic syndrome tells the nurse he needs to get immunizations to enter kindergarten. What does the nurse clarify about receiving immunizations while on prednisone?
Require that the child have antibiotic coverage.
Should be delayed.
Can interfere with the treatment for nephrosis.
Can be given in smaller, divided doses.
The Correct Answer is B
A. Require that the child have antibiotic coverage. This answer is incorrect because immunizations do not typically require antibiotic coverage.
B. Should be delayed. Prednisone can suppress the immune response, potentially reducing the effectiveness of vaccines. Therefore, immunizations should be delayed until the child has completed the course of prednisone and their immune system has recovered.
C. Can interfere with the treatment for nephrosis. While prednisone can be part of nephrotic syndrome treatment, immunizations are not known to interfere directly with this treatment.
D. Can be given in smaller, divided doses. This answer is incorrect because the issue isn't about the size or frequency of the vaccine doses but rather about the timing relative to the child's immunosuppressive treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
A. Empty bladder completely with each void: Ensuring the bladder is completely emptied helps to reduce the risk of residual urine, which can promote bacterial growth and increase the risk of UTIs.
B. Avoid bubble baths: Bubble baths can irritate the urethra and promote bacterial growth, increasing the risk of UTIs. Avoiding them helps in prevention.
C. Increase fiber intake: Increasing fiber intake is not directly related to UTI prevention and is more relevant to digestive health.
D. Wear nylon underpants; Nylon underpants can trap moisture and create a warm environment that supports bacterial growth. Cotton underwear is recommended instead.
E. Watch for manifestations of infection: Being vigilant for signs of infection such as fever, pain, or changes in urination patterns is crucial for early detection and treatment of UTIs.
Correct Answer is A
Explanation
A. Rehydrate. Rehydration is critical in managing severe diarrhea to prevent dehydration and electrolyte imbalance, which can be life-threatening.
B. Assess fluid balance. Assessing fluid balance is important but comes after initiating rehydration to ensure ongoing monitoring and adjustment of the fluid therapy.
C. Maintain fluid therapy. Maintaining fluid therapy is essential but should follow the initial step of rehydration.
D. Introduce a regular diet. Introducing a regular diet should only be considered after the child's fluid and electrolyte balance is restored.
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