A nurse is teaching an adolescent with inflammatory bowel disease about treatment with
corticosteroids. Which adverse effects are concerns for this client? Select all that apply.
1. Acne
2. Hirsutism
3. Mood swings
...
A nurse is teaching an adolescent with inflammatory bowel disease about treatment with
corticosteroids. Which adverse effects are concerns for this client? Select all that apply.
1. Acne
2. Hirsutism
3. Mood swings
4. Osteoporosis
5. Growth spurts
6. Adrenal suppression Correct Answer: 1. Acne
2. Hirsutism
3. Mood swings
4. Osteoporosis
6. Adrenal suppression
RATIONALE: Adverse effects of corticosteroids include acne, hirsutism, mood swings, osteoporosis, and
adrenal suppression. Steroid use in children and adolescents may cause delayed growth, not growth
spurts.
A nurse is conducting an examination of a 6-month-old baby. During the examination, the nurse should
be able to elicit which reflex?
1. Babinski's
2. Startle
3. Moro's
4. Dance Correct Answer: 1. Babinski's
RATIONALE:
The nurse should be able to elicit the Babinski's reflex because it may be present the entire first year of
life.
The startle reflex actually disappears around 4 months of age; the Moro's reflex, by 3 or 4 months of
age; and the dance reflex, after the third or fourth week.
When teaching a parent of a school-age child about signs and symptoms of fever that require immediate
notification of the physician, which description should the nurse include?
1. Burning or pain with urination
2. Complaints of a stiff neck
3. Fever disappearing for longer than 24 hours, then returning
4. History of febrile seizures Correct Answer: 2. Complaints of a stiff neck
RATIONALE: The nurse should discuss complaints of a stiff neck because fever and a stiff neck indicate
possible meningitis. Burning or pain with urination, fever that disappears for 24 hours then returns, and
a history of febrile seizures should be addressed by the physician but can wait until office hours.
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