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Author Question: You are the nurse giving discharge instructions to the caregivers of a child with juvenile ... (Read 111 times)

tnt_battle

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You are the nurse giving discharge instructions to the caregivers of a child with juvenile rheumatoid arthritis who is going home from the hospital. The caregivers ask about physical activities.
 
  Which of the following activities would be best for this child? a. swimming and golf c. wrestling and karate
  b. football and basketball d. ice hockey and skateboarding

Question 2

Which of the following laboratory results would the nurse most likely find reported on a child who has juvenile rheumatoid arthritis?
 
  a. increased erythrocyte sedimentation rate (ESR)
  b. decreased C-reactive protein
  c. decreased white blood cell count (WBC)
  d. increased hemoglobin



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Kjones0604

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Answer to Question 1

A

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A Correct. The best activities for a child with JRA would be swimming and golf. Exercise maintains or increases range of motion and improves strength and endurance. However, high impact and contact sports should be avoided.
B Incorrect. Football and basketball should be avoided because they are contact sports.
C Incorrect. Wrestling and karate should be avoided because they are contact sports.
D Incorrect. Ice hockey, a contact sport, and skateboarding, a high impact sport, should be avoided.

Answer to Question 2

A

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A Correct. Increased erythrocyte sedimentation rate (ESR) is a common lab finding in a child with JRA. Tests reflecting inflammation are used in JRA; however, there are no specific diagnostic laboratory tests.
B Incorrect. An elevated C-reactive protein would be seen in JRA.
C Incorrect. An increased WBC would be seen in JRA.
D Incorrect. Decreased hemoglobin would be seen in JRA.




Kjones0604

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