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 A
Explanation
a) Red, currant, jelly-like stools: This is a classic indication of intussusception due to the presence of blood and mucus in the stool, a result of intestinal obstruction and ischemia.
b) Absent bowel sounds: Can occur but are not specific to intussusception.
c) Hematemesis: Vomiting blood is not a characteristic sign of intussusception.
d) Bilious emesis: While indicative of gastrointestinal issues, it's not the cardinal sign of intussusception.
Correct Answer is B
Explanation
a) Acute diarrhea, dehydration: Not typically associated with Hirschsprung disease, which involves constipation.
b) Failure to pass meconium, abdominal distension: Characteristic signs of Hirschsprung disease due to the absence of ganglion cells in the distal colon, leading to constipation and distension.
c) Gelatinous stools, pain: Uncommon features of Hirschsprung disease.
d) Projectile vomiting, altered electrolytes: These symptoms are not typically seen in Hirschsprung disease; they might indicate other conditions affecting the gastrointestinal tract.
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