What are the classic symptoms of juvenile rheumatoid arthritis ...

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What are the classic symptoms of juvenile rheumatoid arthritis (JRA)
 
  a. severe joint pain that varies from sharp to burning pain
  b. morning immobility, stiffness, and joint pain
  c. swollen joints that are irregular in shape
  d. nighttime pain that causes difficulty sleeping

Question 2

The caregivers of a toddler are very concerned about the temper tantrums their child has. This child falls on the floor in public, kicks and screams, and holds his breath. The nurse would offer which of the following pieces of advice:
 
  a. Don't move the child out of public attention.
  b. Call EMS (emergency medical services) if the child is holding his breath.
  c. Make sure someone knows CPR (cardiopulmonary resuscitation).
  d. The child may faint but it is nothing serious.

[LegendaryAnswers]

Answer to Question 1

B

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A Incorrect. The classic symptoms of JRA are not severe joint pain that varies from sharp to burning pain.
B Correct. The classic symptoms of JRA are morning immobility, stiffness, and joint pain.
C Incorrect. The classic symptoms of JRA are not swollen joints that are irregular in shape. These are the symptoms of rheumatoid arthritis, not JRA.
D Incorrect. The classic symptoms of JRA are not nighttime pain that causes difficulty sleeping. This symptom may indicate growing pains or pain because the long bones grow faster than the attached muscles and typically occurs at night.

Answer to Question 2

D

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A Incorrect: The nurse would not offer the following piece of advice: Don't move the child out of public attention.
B Incorrect: The nurse would not offer the following piece of advice: Call EMS (emergency medical services) if the child is holding his breath.
C Incorrect: The nurse would not offer the following piece of advice: Make sure someone knows CPR (cardiopulmonary resuscitation).
D Correct: The nurse would offer the following piece of advice: The child may faint but it is nothing serious. A child who holds his breath may faint, but will automatically begin breathing as soon as carbon dioxide builds up and stimulates the respiratory center.

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