When caring for a 13-year-old with muscular dystrophy receiving corticosteroids to slow disease progression, which of the following medication side effects would you assess for? (Select All that Apply.)

Chronic fatigue

Weight gain

Mood changes

Weight loss

Osteoporosis

Answer and Explanation

Correct Answer : B,C,E

A. Chronic fatigue. While chronic fatigue can occur in muscular dystrophy due to muscle weakness, it is not a direct side effect of corticosteroids.
B. Weight gain: Corticosteroids commonly cause weight gain due to increased appetite and fluid retention.
C. Mood changes: Mood swings and changes in behaviour are well-documented side effects of corticosteroid use.
D. Weight loss. Corticosteroids typically cause weight gain rather than weight loss.
E. Osteoporosis: Long-term use of corticosteroids can lead to decreased bone density and osteoporosis, making bone fractures more likely.

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Correct Answer is ["A","C","E"]

Explanation

A. I'll expect the plastic ring to fall off by itself within a week. This is correct; the Plastibell ring typically falls off within 5-8 days.
B. I'll apply petroleum jelly to his penis with diaper changes. Incorrect for Plastibell, because the plastic ring itself protects the site, and petroleum jelly can interfere with healing.
C. I'll make sure his diaper is loose in the front. This helps avoid pressure and irritation on the circumcised area.
D. I'll wash his penis with warm water and mild soap each day. Incorrect; the area should be kept clean but only water should be used to avoid irritation.
E. I'll call the doctor if I see any bleeding. Any significant bleeding should be reported to the healthcare provider immediately.

A. The elevated AFP means may baby may have Down Syndrome B. The elevated AFP means my baby may have spina bifida C. The elevated AFP means my baby has Down syndrome D. The elevated APR means my baby has spina bifida

Correct Answer is B

Explanation

A. The elevated AFP means my baby may have Down Syndrome. AFP is not typically elevated in Down Syndrome; other tests like nuchal translucency or cell-free DNA are used for that.
B. The elevated AFP means my baby may have spina bifida. AFP screening is used to detect neural tube defects like spina bifida. An elevated AFP level suggests a higher risk for such conditions.
C. The elevated AFP means my baby has Down syndrome. This is incorrect; AFP is not a marker for Down Syndrome.
D. The elevated AFP means my baby has spina bifida. This is correct, but option B is a more precise statement of understanding.

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When caring for a 13-year-old with muscular dystrophy receiving corticosteroids to slow disease progression, which of the following medication side effects would you assess for? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse on a postpartum unit is giving discharge instructions to a client whose newborn had a circumcision with a Plastibell technique. Which of the following client statements indicates an understanding of her son's circumcision care? (Select All that Apply.)

Correct Answer is ["A","C","E"]

Explanation

Which statement made by a pregnant patient indicates teaching was effective related to an elevated alpha fetoprotein (AFP) level?

Correct Answer is B

Explanation

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A nurse is assessing the fundus of a postpartum patient one day after delivery and notes that the fundus is soft and spongy. Which is the first nursing intervention to preform?

When caring for a 13-year-old with muscular dystrophy receiving corticosteroids to slow disease progression, which of the following medication side effects would you assess for? (Select All that Apply.)

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