An important nursing consideration when caring for a child with juvenile idiopathic arthritis (JIA) is to:
a. Apply ice packs to relieve stiffness and pain.
b. Administer acetaminophen to reduce inflammation.
c. Teach child and family the correct administration of medications.
d. Encourage range-of-motion exercises during periods of inflammation.
ANS: C
The management of JIA is primarily pharmacologic. The family should be instructed regarding administration of medications and the value of a regular schedule of administration to maintain a satisfactory blood level in the body. They need to know that nonsteroidal antiinflammatory drugs 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.
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