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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Test the urine for ketones. While testing for ketones can be part of illness management in diabetes, it is not as immediate an action as contacting a healthcare provider when blood glucose levels are very high.
B. Withhold insulin dose if feeling nauseous. Insulin should not be withheld due to nausea. It is important to maintain insulin to control blood glucose levels even when feeling unwell. Adjustments to insulin may be necessary based on blood glucose levels and food intake.
C. Notify the provider if blood glucose levels are over 350 mg/dL. Blood glucose levels over 350 mg/dL are concerning and may indicate the need for medical intervention to prevent complications like diabetic ketoacidosis. The healthcare provider should be notified.
D. Limit fluid intake during meal time. Adequate fluid intake is important, especially when blood glucose levels are high, to help prevent dehydration and facilitate glucose clearance. Limiting fluids is not appropriate.

A. "Encourage your child to avoid sharing hats with other children." B. "Lice can jump from one child to another." C. "Lice do not survive away from the host." D. "Washing your child's hair daily will prevent lice."

Correct Answer is A

Explanation

A. "Encourage your child to avoid sharing hats with other children." Lice are primarily transmitted through direct head-to-head contact, not by sharing hats or other items.
B. "Lice can jump from one child to another." Lice cannot jump; they crawl from one person to another during direct contact.
C. "Lice do not survive away from the host." Lice can survive away from a host for a limited period (usually less than a day) but not for extended periods.
D. "Washing your child's hair daily will prevent lice." While good hygiene is important, washing hair daily does not necessarily prevent lice infestations.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a school-age child who has type 1 diabetes mellitus and his parents about illness management. Which of the following instructions should the nurse include?

Correct Answer is C

Explanation

A nurse is reinforcing teaching about lice with the parents of a school-age child at a well-child visit. Which of the following information should the nurse include?

Correct Answer is A

Explanation

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A nurse is collecting data from a child who has nephrotic syndrome. Which of the following manifestations should the nurse expect?

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The nurse is reviewing the record of a child admitted to the hospital with nephrotic syndrome. Which finding would the nurse expect to note documented in the record?