A child with seasonal rhinitis has used budesonide [Rhinocort Aqua] for several years. The parents are concerned that the child's rate of growth has slowed. What will the nurse do?
a. Reassure the parents that this is an ex-pected side effect.
b. Suggest that the parents discuss using flu-ticasone [Flonase] with the provider.
c. Tell the parents to administer the drug only when symptoms are severe.
d. Tell the parents that antihistamines work as well as intranasal glucocorticoids.
B
A worrisome systemic effect of intranasal glucocorticoids is suppression of linear growth in children. Although rare, it can occur; however, it is less likely with fluticasone and mometasone, so these two preparations are better options for children. Reassuring parents that this is an ex-pected side effect is incorrect. Intranasal glucocorticoids should be given daily and not as needed. Antihistamines are not as effective as glucocorticoids, because antihistamines work only against one mediator of allergic inflammation.
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Following an extensive diagnostic workup, a 20-year-old man has been diagnosed with bipolar disorder and begun lithium therapy. The nurse's priority assessment in the care of the patient is
A) close monitoring of deep tendon reflexes cranial nerve function. B) careful monitoring of the patient's serum lithium levels. C) assessment of the patient's renal and hepatic function. D) assessment of the patient for signs and symptoms of hypocalcemia and hypophosphatemia.
Which of the following best describes how complementary and alternative therapies differ from traditional health care? (Select all that apply.)
a. Alternative therapies have been documented as ineffective. b. Complementary medicine is expanding because of paid media coverage. c. Nurses rarely are involved in complementary or alternative therapies. d. Providers vary in training and licensure. e. Reimbursement is often unavailable. f. Alternative therapies lack any research related to their effectiveness.
A cephalhematoma is an:
A. accumulation of blood between the skin and the periosteum. B. edematous molding of the skull resulting from pressure at birth. C. accumulation of blood between the periosteum and a bone of the fetal skull. D. accumulation of cerebrospinal fluid between the dura mater and a skull bone.
A client is being transported to the ED after sustaining carbon monoxide (CO) poisoning in a house fire. The nurse would prepare to administer
a. 100% oxygen therapy. b. intermittent positive-pressure breathing. c. suctioning. d. ventilation with 50% oxygen by manual resuscitation bag.