Author Question: The pediatric nurse is caring for a patient with juvenile arthritis. The health-care provider tells ... (Read 81 times)

naturalchemist · **on:** Jun 28, 2018

The pediatric nurse is caring for a patient with juvenile arthritis. The health-care provider tells the nurse the patient will be started on disease-modifying antirheumatic drugs (DMARDs). Which drugs does the nurse anticipate administering? (Select all t

A.
Acetaminophen (Tylenol)
B.
Indomethacin (Indocin)
C.
Infliximab (Remicade)
D.
Leflunomide (Arava)
E.
Methotrexate (Rheumatrex)

Question 2

The nurse is providing care to a pediatric patient who suffered an ankle sprain. Which interventions are appropriate to include in the patient's plan of care? (Select all that apply.)

A.
Apply an Ace wrap to apply pressure and reduce swelling of the joint.
B.
Apply heat to the extremity for the first 48 hours at 15-minute intervals.
C.
Elevate and move the affected joint to reduce swelling and stiffness.
D.
Immediately perform range-of-motion exercises on the extremity.
E.
Place ice on the injury for 15 minutes at a time for the first 1 to 2 days.

hugthug12 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: C, E
DMARDs include methotrexate (Rheumatrex), cyclophosphamide (Cytoxan), sulfasalazine (Azulfidine), and infliximab (Remicade). Acetaminophen (Tylenol) has no anti-inflammatory effect and is not used to treat juvenile arthritis. Leflunomide is an immunosuppressant.

Answer to Question 2

ANS: A, C, E
The nurse should teach the RICE acronym: Rest the injured extremity to prevent further injury and allow the ligament to heal; ice for the first 48 hours, keeping ice packs in place for 15-minute intervals to decrease swelling; compression with an Ace wrap or some other method to apply pressure to the affected joint to help reduce swelling of the joint; and elevation and early motion of the affected joint (elevation reduces swelling; early motion of the affected joint helps maintain full range of motion).