A child with inflammatory bowel disease is prescribed prednisone daily. At which time is it most appropriate for the family to administer the prednisone?

Correct Answer: D

Rationale: The correct answer is D: With meals. Prednisone can cause stomach irritation, so taking it with food helps reduce this risk. Administering with meals also helps minimize gastrointestinal side effects. Choices A, B, and C are incorrect as taking prednisone between meals or at bedtime can increase the likelihood of stomach upset and reduce its effectiveness due to varying absorption rates. Administering prednisone one hour before meals may not provide enough protection against stomach irritation.

Correct Answer: B

Rationale: The correct answer is B: Provide the child with play situations that allow for disclosure. This intervention is crucial as it provides a safe and non-threatening environment for the child to express their feelings and disclose any abuse they may have experienced. By engaging the child in play situations, the child may feel more comfortable opening up about the abuse. A: Avoid touching the child - This is incorrect as it does not address the child's emotional needs or provide an opportunity for the child to communicate about the abuse. C: Discourage the child from remembering the incident - This is incorrect as it can hinder the child's healing process and prevent them from receiving appropriate support and intervention. D: Deny the suspected perpetrator visiting rights to the child - While this may be necessary for the child's safety, it does not directly address the child's emotional needs or provide a supportive environment for disclosure.

Correct Answer: D

Rationale: Correct Answer: D - Increased calories Rationale: 1. Infants with CHF have increased metabolic demands due to their heart working harder. 2. Increased caloric intake helps meet the energy needs for the heart and body. 3. Adequate calories promote growth and development in infants with CHF. Summary of other choices: A. Decreased fat: Fat provides essential fatty acids and energy, important for growth and development. Decreasing fat may lead to inadequate energy intake. B. Increased fluids: While fluid restriction may be necessary in some cases of CHF, it is not a primary need. Fluid management is crucial but not the main focus in this scenario. C. Decreased protein: Protein is essential for growth, repair, and immune function. Decreasing protein may lead to muscle wasting and compromised immune function.

Correct Answer: B

Rationale: The correct initial intervention is to notify the practitioner of the child's increased apprehension, tachycardia, and increased chest tube drainage. This is important because these signs could indicate a potential complication post-heart surgery that requires immediate medical attention. Applying warming blankets (choice A) may not address the underlying issue, giving additional pain medication (choice C) without practitioner approval could mask symptoms, and encouraging coughing and deep breathing (choice D) may not be appropriate in this situation. It is crucial to involve the practitioner promptly for further evaluation and management.

Correct Answer: A

Rationale: The correct answer is A: Osteoporosis. Immobility leads to decreased weight-bearing stress on bones, causing bone demineralization and increased risk of osteoporosis. Osteoporosis is characterized by decreased bone density and increased fracture risk. Pooling of blood (B) is more related to circulatory issues. Urinary retention (C) is a result of bladder dysfunction. Susceptibility to infection (D) is not directly related to bone demineralization from immobility.