The healthcare provider is preparing medication instructions for a child who has undergone a kidney transplant and is prescribed cyclosporine. The parents ask the provider about the reason for the cyclosporine. Which rationale for this medication should the healthcare provider include in the response?

Correct Answer: A

Rationale: Rationale: The correct answer is A) Suppress rejection. Cyclosporine is an immunosuppressant medication commonly prescribed to organ transplant recipients to prevent rejection. In the context of a kidney transplant, cyclosporine works by suppressing the body's immune response, particularly T-cell activity, to prevent the immune system from attacking and rejecting the transplanted kidney. This is crucial for the long-term success of the transplant and to ensure the child's body accepts the new organ. Option B) Decrease pain is incorrect because cyclosporine is not a pain medication. Its primary function is to prevent organ rejection by suppressing the immune response. Option C) Improve circulation is incorrect as cyclosporine does not directly impact circulation. Its main action is on the immune system to prevent rejection of the transplanted organ. Option D) Boost immunity is incorrect because cyclosporine actually suppresses the immune system. In the context of organ transplantation, boosting immunity would be counterproductive as it could lead to rejection of the transplanted organ. In a pediatric nursing context, understanding the rationale behind medications like cyclosporine is crucial for providing safe and effective care to pediatric patients, especially those who have undergone organ transplantation. Educating parents about the purpose of such medications can help them better understand the treatment plan and actively participate in their child's care, which ultimately contributes to better outcomes and adherence to the prescribed regimen.

Correct Answer: D

Rationale: The correct answer is D) "I will administer this medication with meals." Prednisone is a corticosteroid that can cause gastrointestinal irritation, so administering it with meals helps to minimize stomach upset and irritation. By taking prednisone with food, the medication is better tolerated and absorbed, reducing the risk of gastrointestinal side effects. Option A) "I will administer this medication between meals" is incorrect because taking prednisone on an empty stomach can increase the risk of gastrointestinal irritation and side effects. Option B) "I will administer this medication at bedtime" is incorrect because prednisone should be taken with meals to reduce stomach upset, rather than before bedtime when the stomach is empty. Option C) "I will administer this medication one hour before meals" is incorrect because prednisone should be taken with meals to help prevent gastrointestinal irritation, not before meals. In pediatric nursing, it is crucial to educate caregivers on the proper administration of medications to ensure optimal therapeutic effects and minimize adverse reactions. Teaching them the importance of giving prednisone with meals can help promote medication adherence and improve the child's overall treatment outcomes.

Correct Answer: A

Rationale: The correct answer is A) Placing the newborn on a radiant warmer. In the case of a newborn with an omphalocele defect, it is crucial to maintain the infant's body temperature due to the exposed abdominal organs. Placing the newborn on a radiant warmer helps to prevent hypothermia and promote thermoregulation, which is essential for the infant's overall well-being and recovery. Option B) Placing the newborn in an open crib is incorrect because it does not address the specific need for thermal regulation in a newborn with an omphalocele defect. Exposing the infant to an open environment without adequate warmth can lead to complications. Option C) Preparing the newborn for phototherapy is also incorrect as phototherapy is used to treat conditions like jaundice, which is not directly related to an omphalocele defect. Option D) Preparing the newborn for bottle-feeding is inappropriate at this point as the priority for a newborn with an omphalocele defect is to ensure proper temperature maintenance and medical management before considering feeding options. In a pediatric nursing context, understanding the specialized care needs of infants with congenital defects is crucial for providing safe and effective nursing care. This question highlights the importance of prioritizing immediate physiological needs, such as thermoregulation, in infants with specific medical conditions like an omphalocele defect.

Correct Answer: A

Rationale: Positioning the newborn in a semi-Fowler position is appropriate as it helps prevent aspiration in suspected EA/TE fistula. This position helps reduce the risk of regurgitation and aspiration of gastric contents. Placing the newborn in a semi-Fowler position promotes the drainage of secretions and reduces the risk of complications while awaiting further assessment by the healthcare provider.

Correct Answer: C

Rationale: The correct answer is hypotonic dehydration. The combination of high hemoglobin and hematocrit with low serum sodium indicates hypotonic dehydration. In this condition, there is an excess of solutes relative to water, leading to higher red blood cell concentration (elevated hemoglobin and hematocrit) and low serum sodium levels.