Which intervention is appropriate for a child receiving a high dose of steroids?
Decrease the amount of potassium in the diet
Administer non-live virus vaccine
Limit activity and receive home schooling
Monitor for seizure activity
The Correct Answer is B
a) Decrease the amount of potassium in the diet: Steroids can increase potassium loss, so restricting potassium intake is unnecessary and could potentially exacerbate hypokalemia.
b) Administer non-live virus vaccine: Generally acceptable as live-virus vaccines are contraindicated in individuals receiving high-dose steroids due to the risk of developing infections.
c) Limit activity and receive home schooling: While rest might be needed in some situations, home schooling might not always be necessary.
d) Monitor for seizure activity: While monitoring for adverse effects is important, it is not specifically related to the use of high-dose steroids.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
a) Dry swollen, fissuring lips: Not a typical symptom of Kawasaki disease; however, red, cracked lips (strawberry tongue) can occur.
b) Conjunctivitis with exudate: Conjunctivitis is a common symptom of Kawasaki disease.
c) Nonpalpable lymph nodes: Kawasaki disease often presents with enlarged cervical lymph nodes.
d) Cyanosis of the hands and feet: Not a characteristic symptom of Kawasaki disease; however, extremity changes like redness or swelling might occur.
Correct Answer is ["B","C","D","E","F"]
Explanation
a) Eupnea: Normal breathing rate and pattern, not indicative of distress.
b) Apnea: Cessation of breathing, a sign of significant distress.
c) Tachypnea: Rapid breathing, often seen in respiratory distress.
d) Wheezing: High-pitched, musical sounds during expiration, suggesting airway obstruction.
e) Grunting: Heard during expiration, a sign of the body's attempt to keep air in the lungs, indicating distress.
f) Retractions: Visible sinking of tissues between ribs or at the sternum, indicating increased effort to breathe, a sign of distress.
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