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 66 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?

Hippocrates noted that blood separates into four differently colored liquids when removed from the body and examined: a pure red liquid mixed with white liquid material with a yellow-colored froth at the top and a black substance that settles underneath; he named these the four humors (for blood, phlegm, yellow bile, and black bile).

Did you know?

Approximately 25% of all reported medication errors result from some kind of name confusion.

Did you know?

Bacteria have flourished on the earth for over three billion years. They were the first life forms on the planet.

Did you know?

Approximately one in four people diagnosed with diabetes will develop foot problems. Of these, about one-third will require lower extremity amputation.

Did you know?

The first war in which wide-scale use of anesthetics occurred was the Civil War, and 80% of all wounds were in the extremities.

Child racing at the Naadam festival Child racing at the Naadam festival
Pneumonia. This common lung inflammation may be caused by bacteria, viruses, or fungi and is often d Pneumonia. This common lung inflammation may be caused by bacteria, viruses, or fungi and is often d
school of fish school of fish
Observed Mother–Child Arguments at Five Time Points Over an Eight-Year Period Observed Mother–Child Arguments at Five Time Points Over an Eight-Year Period
Measuring a child’s height with a measuring stick Measuring a child’s height with a measuring stick
Video: Interview with Person who has Panic Attacks

For a complete list of videos, visit our video library