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    Ati pn paediatrics nursing 2023 proctored exam

    A nurse is reinforcing teaching with a parent of a child who has a new prescription for a budesonide inhaler. Which of the following adverse reactions should the nurse include in the teaching?

    Explanation & Rationale

    A. Oral candidiasis: Budesonide is an inhaled corticosteroid, and a common adverse effect is oral candidiasis (thrush). The medication can suppress local immune response in the mouth, allowing fungal overgrowth. Rinsing the mouth after each use helps prevent this. B. Peptic ulcer: Peptic ulcers are more commonly associated with systemic corticosteroids taken orally or by injection, not inhaled forms like budesonide. C. Short stature: Long-term use of high-dose inhaled corticosteroids may slightly affect growth, but this is not a common adverse effect and is usually monitored with prolonged therapy. D. Weight loss: Budesonide does not typically cause weight loss. Inhaled steroids are generally associated with minimal systemic effects compared to oral corticosteroids.

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