The parents of a 10-year-old child in remission from leukemia are upset over the appearance of cushingoid characteristics in the child from long- term use of corticosteroids, currently being administered every other day. Which therapeutic statements would the nurse make to the parents about the cushingoid appearance? Select all that apply.
The manifestations are lessened by taking the prednisone every other day Instead of daily."
"You need to be sure to talk to the doctor about the cushingold characteristics."
Which manifestations of this condition do you find mest troublesome?
"I am sure it will be all right they hardly look unusual
The cushingoid appearance will gradually disappear once the corticosteroids are tapered and discontinued."
Correct Answer : A,B,E
A."The manifestations are lessened by taking the prednisone every other day instead of daily."
Explanation: Cushingoid characteristics can be related to prolonged corticosteroid use. Adjusting the dosing schedule, such as administering prednisone every other day instead of daily, may help minimize these manifestations.
B."You need to be sure to talk to the doctor about the Cushingoid characteristics."
Explanation: Open communication with the healthcare provider is crucial. Discussing the concerns about Cushingoid characteristics with the doctor allows for appropriate evaluation and potential adjustments to the treatment plan.
C."Which manifestations of this condition do you find most troublesome?"
Explanation: This question opens the discussion to identify specific concerns and allows the nurse to address them individually.
D."I am sure it will be all right; they hardly look unusual."
Explanation: This statement may downplay the parents' concerns. It's essential to acknowledge their worries and provide accurate information about the potential impact of corticosteroids and the plan for managing Cushingoid characteristics.
E."The Cushingoid appearance will gradually disappear once the corticosteroids are tapered and discontinued."
Explanation: Cushingoid characteristics are associated with the side effects of corticosteroid use. The nurse should provide reassurance that, in many cases, these characteristics can gradually improve once the corticosteroid dose is tapered and eventually discontinued.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "This shunting allows oxygenated and unoxygenated blood to mix."
Explanation: This statement is correct. In PDA, the shunting of blood between the aorta and pulmonary artery allows oxygenated and unoxygenated blood to mix, leading to decreased oxygen saturation in the systemic circulation.
B. "Blood is shunted to the right side of the heart."
Explanation: This statement is correct. In PDA, blood is shunted from the left side of the heart (aorta) to the right side of the heart (pulmonary artery).
C. "This shunting results in increased pulmonary blood flow."
Explanation: This statement is correct. PDA leads to increased pulmonary blood flow as a result of the shunting of blood from the aorta to the pulmonary artery.
D. "Blood is shunted to the left side of the heart."
Explanation:
A patent ductus arteriosus (PDA) is a congenital heart defect where the ductus arteriosus, a fetal blood vessel that normally closes shortly after birth, remains open. In PDA, blood is shunted from the aorta (left side of the heart) to the pulmonary artery (right side of the heart), resulting in increased pulmonary blood flow. Therefore, the correct statement is that "Blood is shunted to the right side of the heart."
Correct Answer is ["A","C","F"]
Explanation
A. Elevate the extremity on pillows for the first 24 to 48 hours after casting to prevent swelling.
Explanation: Elevating the extremity can help reduce swelling, especially in the initial period after casting.
B. Place a heating pad on the lower end of the cast and over the fingers if the fingers feel cold.
Explanation: Applying heat can increase the risk of burns and is not recommended. If the fingers feel cold, it may indicate a circulation issue, and the healthcare provider should be contacted.
C. Keep small toys and sharp objects away from the cast.
Explanation: Keeping small toys and sharp objects away from the cast is important to prevent injury or damage to the cast.
D. Use a padded ruler or another padded object to scratch the skin under the cast if it itches.
Explanation: Inserting objects under the cast can lead to complications, including skin damage or infection. It is advisable not to insert anything into the cast.
E. Use the fingertips to lift the cast while it is drying.
Explanation: Lifting or manipulating the cast during the drying process can compromise its integrity and should be avoided. The cast needs to dry completely to provide proper support and immobilization.
F. Contact the primary health care provider (PHCP) if the child complains of numbness or tingling in the extremity.
Explanation: Numbness or tingling can indicate a circulation problem, and it is important to contact the healthcare provider for further assessment.
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