This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: The nurse is caring for a school-age child diagnosed with juvenile idiopathic arthritis (JIA). Which ... (Read 123 times)

melina_rosy

  • Hero Member
  • *****
  • Posts: 531
on: Jun 28, 2018
The nurse is caring for a school-age child diagnosed with juvenile idiopathic arthritis (JIA). Which intervention should be a priority?
 
  a. Apply ice packs to relieve stiffness and pain.
  b. Administer acetaminophen to reduce inflammation.
  c. Teach the child and family correct administration of medications.
  d. Encourage range-of-motion exercises during periods of inflammation.

Question 2

The nurse is caring for a 12-year-old child with a left leg below the knee amputation (BKA). The child had the surgery 1 week ago. Which intervention should the nurse plan to implement for this child?
 
  a. Elevate the left stump on a pillow.
  b. Place ice pack on the stump.
  c. Encourage the child to use an overhead bed trapeze when repositioning.
  d. Replace the ace wrap covering the stump with a gauze dressing.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

itsakadoozi

  • Sr. Member
  • ****
  • Posts: 317
Reply #1 on: Jun 28, 2018
Answer to Question 1

ANS: C
The management of JIA is primarily pharmacologic. The family should be instructed regarding administration of medications and the value of regular schedule of administration to maintain a satisfactory blood level in the body. They need to know that NSAIDs should not be given on an empty stomach and to be alert for signs of toxicity. Warm moist heat is best for relieving stiffness and pain. Acetaminophen does not have antiinflammatory effects. Range-of-motion exercises should not be done during periods of inflammation.

Answer to Question 2

ANS: C
Use of the overhead bed trapeze should be encouraged to begin to build up the arm muscles necessary for walking with crutches. Stump elevation may be used during the first 24 hours, but after this time, the extremity should not be left in this position because contractures in the proximal joint will develop and seriously hamper ambulation. Ice would not be an appropriate intervention and would decrease circulation to the stump. Stump shaping is done postoperatively with special elastic bandaging using a figure-eight bandage, which applies pressure in a cone-shaped fashion. This technique decreases stump edema, controls hemorrhage, and aids in developing desired contours so the child will bear weight on the posterior aspect of the skin flap rather than on the end of the stump. This wrap should not be replaced with a gauze dressing.


melina_rosy

  • Hero Member
  • *****
  • Posts: 531
Reply #2 on: Jun 28, 2018
Correct answers!


itsakadoozi

  • Sr. Member
  • ****
  • Posts: 317
Reply #3 on: Jun 28, 2018
Great! Please up vote :D


« previous next »
 

Did you know?

Vaccines cause herd immunity. If the majority of people in a community have been vaccinated against a disease, an unvaccinated person is less likely to get the disease since others are less likely to become sick from it and spread the disease.

Did you know?

Prostaglandins were first isolated from human semen in Sweden in the 1930s. They were so named because the researcher thought that they came from the prostate gland. In fact, prostaglandins exist and are synthesized in almost every cell of the body.

Did you know?

There are over 65,000 known species of protozoa. About 10,000 species are parasitic.

Did you know?

Hyperthyroidism leads to an increased rate of metabolism and affects about 1% of women but only 0.1% of men. For most people, this increased metabolic rate causes the thyroid gland to become enlarged (known as a goiter).

Did you know?

No drugs are available to relieve parathyroid disease. Parathyroid disease is caused by a parathyroid tumor, and it needs to be removed by surgery.

Nurse-patient interaction; nonveral communication Nurse-patient interaction; nonveral communication
To examine a child’s ear, the pinna should be pulled back and up for children over 3 years; the pinn To examine a child’s ear, the pinna should be pulled back and up for children over 3 years; the pinn
This girl ran four spinning machines in a cotton mill in Whitnel, North Carolina. Only 4 feet, 3 inc This girl ran four spinning machines in a cotton mill in Whitnel, North Carolina. Only 4 feet, 3 inc
Raphael's mural, The School of Athens, depicts the early Greek philosophers engaged in ... Raphael's mural, The School of Athens, depicts the early Greek philosophers engaged in ...
Madonna and Child with St. Anne and Infant St. John the Baptist. Madonna and Child with St. Anne and Infant St. John the Baptist.
Family interactions change in response to the developing child, and parenting characteristics, such ... Family interactions change in response to the developing child, and parenting characteristics, such ...
Video: Protein catabolism - deamination

For a complete list of videos, visit our video library