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The nurse is doing discharge teaching with the parent of an asthmatic child who will be going home on steroids. Which of these comments by the parent would indicate an accurate understanding of discharge teaching regarding these medications?

My child may need to take a gastric acid suppressor while taking steroids.

Prolonged steroid use may lead to addiction.

Prolonged steroid use causes children to grow prematurely tall because they enhance growth.

Steroids cause weight loss and dehydration in children because they cause type 1 diabetes.

Answer and Explanation

The Correct Answer is C

a) The need for a gastric acid suppressor is not a common consideration when taking steroids.

b) Prolonged steroid use does not typically lead to addiction.

c) Prolonged steroid use, particularly in children, may lead to enhanced growth and potentially premature tall stature.

d) Steroids may cause weight gain rather than weight loss, and they do not typically cause type 1 diabetes.

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Correct Answer is C

Explanation

a) Monitoring for Cushing's symptoms is important, but it is not a statement indicating a good understanding of the withdrawal process from glucocorticoids.

b) Telling the client to never take steroids again is an overly generalized statement and does not reflect a nuanced understanding of the medication.

c) Not attempting to taper off the medication without consulting the provider is the correct approach. Abrupt discontinuation can lead to adrenal insufficiency, and the tapering schedule should be individualized.

d) Reducing the dose by half each day without proper guidance may result in withdrawal symptoms and is not a recommended strategy.

A. Discuss possible opiate dependence with the client's provider. B. Note the effectiveness of the analgesia in the client's chart. C. Encourage the client to turn over, and cough and take deep breaths. D. Prepare to administer naloxone and provide respiratory support.

Correct Answer is D

Explanation

a) While discussing possible opiate dependence is important, the immediate concern is the client's respiratory depression and altered level of consciousness, which may require naloxone administration.

b) Noting the effectiveness of analgesia is relevant but does not address the current respiratory depression and lethargy observed in the client.

c) Encouraging the client to turn over and cough may not be effective in addressing severe respiratory depression, and immediate intervention is needed.

d) The client's symptoms, including drowsiness, lethargy, pinpoint pupils, and respiratory depression, are consistent with opioid overdose. Naloxone is the antidote for opioid toxicity and should be administered promptly.

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The nurse is doing discharge teaching with the parent of an asthmatic child who will be going home on steroids. Which of these comments by the parent would indicate an accurate understanding of discharge teaching regarding these medications?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is talking to a client who wants to stop taking glucocorticoids after taking them for 3 months. Which statement by the client indicates a good understanding of the teaching about withdrawal?

Correct Answer is C

Explanation

A client on a morphine PCA pump is noted to be drowsy and lethargic with pinpoint pupils and the following vitals: pulse 84 beats/minute, respiratory rate 10 breaths/minute, blood pressure 90/50 mm Hg. What is the nurse's best action?

Correct Answer is D

Explanation

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