Author Question: The pediatric nurse is caring for a child recently diagnosed with transient synovitis of the hip. ... (Read 22 times)

sjones · **on:** Jun 28, 2018

The pediatric nurse is caring for a child recently diagnosed with transient synovitis of the hip. Which medication order is most appropriate for this child?

A.
Acetaminophen (Tylenol) 10-15 mg/kg every 4 hours
B.
Ibuprofen (Motrin) 30-50 mg/kg/day in 3-4 divided doses
C.
Naproxen (Aleve) 20-30 mg/kg/dose every 4 hours
D.
Prednisone (Deltasone) 0.1-2 mg/kg/day in 1-4 divided doses

Question 2

A child has just been diagnosed with juvenile arthritis (JA). The parents want to know what caused this to happen. Which statement by the nurse is the most appropriate?

A.
Genetic abnormalities are triggered by infection.
B.
It seems to be an autoimmune disease.
C.
Latent infections can recur and cause JA.
D.
No one really understands how JA occurs.

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

Answer to Question 1

ANS: B
This disorder is treated with NSAIDs. Acetaminophen is not an NSAID, although the dose listed is a safe dose. Prednisone is also not an NSAID, although the dose listed is a safe dose. Ibuprofen and Naproxen are both NSAIDs. The dose of ibuprofen is correct; the safe dose for naproxen is 10-15 mg/kg/dose every 12 hours.

Answer to Question 2

ANS: B
JA is an autoimmune, inflammatory process often thought to be triggered by an infection. The etiology is not genetic, caused by latent infections, or completely unknown.