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.
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.
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A client is on mechanical ventilation and the client's spouse wonders why ranitidine (Zantac) is needed since the client "only has lung problems." What response by the nurse is best?
a. "It will increase the motility of the gastrointestinal tract." b. "It will keep the gastrointestinal tract functioning normally." c. "It will prepare the gastrointestinal tract for enteral feedings." d. "It will prevent ulcers from the stress of mechanical ventilation."
The informatics nurse is focusing on the analysis of big data. What would be an expected outcome of this analysis? Select all that apply.
A) Support decisions B) Recommend actions C) Enhance staff satisfaction D) Forecast the likelihood of an event E) Improve patient perception of care providers
A client who is diagnosed with bulimia would be most likely to manifest the psychosocial alteration of
a. denial. b. depression. c. self-mutilation. d. social withdrawal.
Obesity among the youth of the nation has reached epidemic proportions. Which of the following are included in the guidelines for managing childhood obesity? Select all that apply
1. Set goals related to healthier lifestyle, not dieting. 2. Have low-calorie, nutritious snacks available and ready. 3. Allow snacking in front of the TV for only short periods. 4. Scale back computer time and replace it with activities and chores.