The nurse assessing a child with juvenile rheumatoid arthritis notes the child's right knee and ankle are swollen, warm, and tender. The child has a temperature of 38.8 ° C (102 ° F) and abdominal pain

What type of juvenile rheumatoid arthritis do these findings suggest?
a.
Psoriatic
b.
Enthesitis
c.
Systemic
d.
Acute febrile


ANS: C
The systemic form of juvenile rheumatoid arthritis is associated with an elevated temperature, erythrocyte sedimentation rate (ESR), and C-reactive protein; abdominal pain; and a macular rash.

Nursing

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The antiemetic drug ondansetron (Zofran) is being administered to a child receiving chemotherapy. It should be administered:

1. Only if the child experiences nausea. 2. After the chemotherapy has been administered. 3. Before chemotherapy administration, as a prophylactic measure. 4. Never; this antiemetic is not effective for controlling nausea and vomiting associated with chemotherapy.

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Which of the following is least likely to be true about caring for an elder patient who is African American?

a. The patient can expect to find support from his church after discharge. b. During a physical assessment, examination of the interior of the patient's mouth with adequate light is important. c. The patient is likely to value extended family relationships and family-like rela-tionships with persons who may not actually be related. d. The patient may not desire preferential treatment afforded to African Americans.

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Protective isolation is necessary if the leukocyte is extremely low

Indicate whether the statement is true or false

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The client with hypertension has been prescribed a low-sodium diet. The nurse teaching this client about foods that are allowed should plan to include which of the following in a list provided to the client?

1. Tomato soup 2. Boiled shrimp 3. Instant oatmeal 4. Summer squash

Nursing