Difficulty: Medium
Average Score: 92%
Simulated
Passage / Scenario
A 10-year-old child in remission from leukemia with cushingoid characteristics from long-term corticosteroid useThe parents of a 10-year-old child in remission from leukemia are upset over the appearance of cushingoid characteristics in the child from long-term use of corticosteroids, currently being administered every other day. Which therapeutic statements would the nurse make to the parents about the cushingoid appearance? Select all that apply.
Correct answer
A,C,E
Rationale
Correct Answer: A, C, E
Rationale:
A: Taking prednisone every other day reduces the overall exposure to corticosteroids, potentially lessening the cushingoid characteristics.
C: By asking the parents which manifestations are most troublesome, the nurse can address specific concerns and provide targeted support.
E: Gradual tapering and discontinuation of corticosteroids can help the body normalize and the cushingoid appearance to diminish over time.
Incorrect Choices:
B: While it's important to communicate with the doctor, this statement does not directly address the management of cushingoid characteristics.
D: Dismissing the parents' concerns and downplaying the situation is not appropriate as it ignores the impact of cushingoid characteristics on the child's well-being.
Rationale:
A: Taking prednisone every other day reduces the overall exposure to corticosteroids, potentially lessening the cushingoid characteristics.
C: By asking the parents which manifestations are most troublesome, the nurse can address specific concerns and provide targeted support.
E: Gradual tapering and discontinuation of corticosteroids can help the body normalize and the cushingoid appearance to diminish over time.
Incorrect Choices:
B: While it's important to communicate with the doctor, this statement does not directly address the management of cushingoid characteristics.
D: Dismissing the parents' concerns and downplaying the situation is not appropriate as it ignores the impact of cushingoid characteristics on the child's well-being.