Nokea
What special considerations are related to long-term prednisone therapy in preschoolers? (Select all that apply.)
- A. Delayed immunization
- B. Hypertension
- C. Enlargement of the sex organs
- D. Alteration in nutrition
- E. Increased risk for infection
Correct Answer: A,E
Rationale: Delayed immunization and greater risk for infection are concerns relative to long-term prednisone therapy.
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A 7-year-old child has a BUN of 25 mg/dL. What is the nurse aware this lab value might indicate? (Select all that apply.)
- A. Dehydration
- B. Renal disease
- C. Need for steroid therapy
- D. Diabetes
- E. Pituitary malfunction
Correct Answer: A,B,C
Rationale: Increased BUN can indicate dehydration, renal disease, and/or need for steroid therapy.
The parents of a newborn are concerned that their son's scrotum is enlarged and swollen on one side. What is the nurse's best response?
- A. It is very common in the newborn that one gonad is larger than the other.'
- B. Birth trauma caused bruising to the scrotum. It will reduce in size in a few days.'
- C. It is a collection of fluid that will most likely correct itself in a year.'
- D. The doctor will drain this collection of blood before your baby is discharged.'
Correct Answer: C
Rationale: These signs are indicative of a hydrocele, a collection of fluid in the scrotum that usually corrects itself in a year.
A 6-year-old child with daytime enuresis complains of dysuria and urgency. What does the nurse recognize these signs and symptoms indicate?
- A. Urinary tract infection
- B. Nephrotic syndrome
- C. Acute glomerulonephritis
- D. Vesicoureteral reflux
Correct Answer: A
Rationale: Urinary frequency and pain during micturition are symptoms of acute urinary tract infection.
The 6-year-old child scheduled for an orchiopexy shyly asks the nurse, 'What are they going to do to me _down there'?' What is the nurse's best response?
- A. They are going to fix you up down there.'
- B. They will move your testicle from your abdomen to your scrotum.'
- C. What do you think your doctor is going to do?'
- D. You shouldn't worry. Your doctor knows exactly what to do.'
Correct Answer: C
Rationale: Encourage the patient to talk about what he knows and what feelings he has about the surgery.
What foods does the nurse recommend the child with acute glomerulonephritis avoid to prevent hyperkalemia?
- A. Dairy products
- B. Whole-grain cereals
- C. Organ meats
- D. Bananas
Correct Answer: D
Rationale: Bananas are very high in potassium and should be avoided.