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Get faster at matching terms Terms in this set (10)A nurse in a medical clinic is providing teaching to an older adult client who has osteoarthritis that is affecting her knees. Which of the following client statements indicated an understanding of the teaching? a. "I will elevate my legs by placing two pillows
under my knees when I go to bed." c. Ibuprofen is the first step in medication therapy for osteoarthritis. Ibuprofen is often the initial medication given to help decrease inflammation and pain. Heat can help lessen joint stiffness, but this answer is wrong because you need to alternate between heat and cold therapies is an intervention. Patients can limit their activity but the reason this answer is wrong is because limiting activity is NOT going to prevent further injury. Elevating their legs relates more to lessen edema in the lower extremities. Placing a pillow underneath the knees will help alleviate back pain but will not help alleviate knee pain from OA. A nurse is caring for a school aged child who has juvenile idiopathic arthritis (JIA). Which of the following home care instructions will the nurse include in the teaching for the parents? a. pursue normal activities as a family unit a. Pursue normal activities as a family unit. To prevent isolation and foster independence, the family is encouraged to pursue their normal activities. It takes resourcefulness and commitment from all family members to support the child with JIA. Heat has been shown to be beneficial to children with JIA. Moist heat is best for relieving pain and stiffness. A warm bath is the most practical method to decrease pain and/or stiffness of the joints. NSAID's must be taken with a meal or snack to decrease gastrointestinal irritation (GI upset). The child should awaken approximately one hour early and take pain medication. After the pain medication is working, then they can start with their ROM exercises. Yoga, tai chi, and water aerobics are excellent therapies to preserve function and/or prevent deformity. The nurse is caring for a postoperative client. The nurse understands this client should have mild erythema and edema at the incision site 12 to 24 hours post operation depending on which condition? The client/clients: immune system is functioning properly: a. has an infection d. immune system is functioning properly. This is related to the pathophysiology of immunity. When the immune system is working well, your body is working to heal itself. With an active immune system, that area where the incision is will experience erythema (redness) and edema (swelling). This is the process of your body not only healing but also building that defense system to help prevent any foreign pathogens from entering the body. Even a very mild fever can be normal post op in that 12-24 hour period due to also the body activating that immune system. A nurse is providing discharge instructions to a parent and his school age child who has juvenile idiopathic arthritis. Which of the following instructions should the nurse include?
a. encourage the child to take a 45 min nap daily d. Administer prednisone on an alternate-day schedule. Prednisone is an effective anti-inflammatory agent that can have serious adverse effects. Taking prednisone on an alternate-day schedule can help maintain joint mobility and minimize adverse effects. A nurse is teaching a client who is to begin long-term therapy with prednisone to treat rheumatoid arthritis. The nurse should instruct the client to take which of the following supplements while taking this medication? a. calcium and vitamin d a. Calcium and vitamin D Long-term use of glucocorticoids, such as prednisone, places the client at risk for osteoporosis. The nurse should instruct the client to take calcium and vitamin D supplements to reduce this risk. A deformity that is common in clients with osteoarthritis (OA) is: a. ulnar drift b. Heberden's nodes Heberden's nodes is a common deformity seen in patients with OA. Swan neck deformity, ulnar drift, and hallux valgus are all rheumatoid arthritis (RA) deformities. A nurse is teaching a client who has rheumatoid arthritis about increasing physical rest as part of her treatment plan. Which of the following outcomes of this intervention should the nurse document as a goal for this client? a. reduce joint stress a. Reduced joint stress Rheumatoid arthritis in an autoimmune disease in which the cartilage and bone of the joints are destroyed resulting in increased pain and limited range of motion. The nurse should instruct the client that rest reduces stress on the joints and can be an effective intervention for relieving pain associated with rheumatoid arthritis. A nurse in a provider's office is assessing a client who has rheumatoid arthritis (RA). Which of the following findings is a late manifestation of this condition? a. anorexia b. Knuckle deformity Joint deformity is a late manifestation of RA. (weight loss, low grade fever, and anorexia are all early manifestations) A nurse is assessing a client for early manifestations of rheumatoid arthritis (RA). Which of the following changes is an early manifestation of RA? a. morning stiffness Fatigue Fatigue, weakness, and anorexia are early manifestations of RA. (morning stiffness, Baker's cysts are late manifestations. Temporomandibular joint pain, although rare, is a late manifestation of severe RA.) A client with a suppressed immune system may report which symptoms? a. Watery eyes and nasal congestion b. Fatigue and poor wound healing When the immune system is suppressed, a person will experience fatigue and their wounds will health more slowly as well. The body is exhausted and this is causing you to feel fatigued. When wounds heal slow, they are healing poorly. Your skin goes into damage control mode after you get a burn, cut or scrape. Your body works to protect the wound by sending nutrient-rich blood to the injury to help regenerate new skin. This healing process depends on healthy immune cells. But if your immune system is sluggish, your skin can't regenerate. Instead, your wounds linger and have a hard time healing. Sets found in the same folderATI Integumentary Practice Questions10 terms camryn_gilliard_ ATI HIV AIDS Targeted MEd Surg practice test15 terms XtraCLaasy Medical-Surgical: Immune and Infectious Quiz29 terms jessenia_leon Medications of Infection23 terms hannafarmer19 Other sets by this creatorATI: Infection10 terms BlessedFutureNurse Concept-Based Assessment Online Practice A Level 2110 terms BlessedFutureNurse Concept-Based Assessment Online Practice A Level 2110 terms BlessedFutureNurse Glucose Regulation10 terms BlessedFutureNurse Other Quizlet setsch.5 Sales Techniques and practices65 terms diana2533 Anatomy and physiology exam 154 terms Josh_Barbara #3 Chapter 2 Earth Structure36 terms eden_bod Biblit Samuel test15 terms Hrudoler Related questionsQUESTION What is treatment for Sjogren's Syndrome? 15 answers QUESTION What is Polymyalgia Rheumatica? What disease is it associated with? 15 answers QUESTION What is another name for Hashimoto's? 12 answers QUESTION What tendons make up the Tunnel of DeQuervain? 11 answers Which intervention would relieve the discomfort of knee pain for the child with juvenile idiopathic arthritis?Painkillers. Nonsteroidal anti-inflammatory drugs (NSAIDs) can help with swelling and pain from JIA, which used to be called juvenile rheumatoid arthritis. You can buy many of them over the counter, like ibuprofen and naproxen. Kids with JIA usually need higher doses that you can only get with a prescription.
Which drug is used in the treatment of juvenile rheumatoid arthritis quizlet?Disease-modifying antirheumatic drugs (DMARDs).
DMARDs may be taken in combination with NSAIDs and are used to slow the progress of juvenile idiopathic arthritis. The most commonly used DMARD for children is methotrexate (Trexall, Xatmep, others).
How do you deal with JIA?Smart Tips to Help Your Kid Cope With JIA. Put on a Brave Face. ... . Assemble Your Child's Pain Management Team. ... . Work Directly With Your Child's School. ... . Start Moving First Thing. ... . Develop a Sleep Routine. ... . Connect With Other Families Who Have Kids With JIA. ... . Parents: Learn to Let Go.. How common is juvenile rheumatoid arthritis?Juvenile rheumatoid arthritis (JRA), often referred to by doctors today as juvenile idiopathic arthritis (JIA), is a type of arthritis that causes joint inflammation and stiffness for more than six weeks in a child aged 16 or younger. It affects approximately 50,000 children in the United States.
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What information should the nurse include in the teaching plan of care for a child with juvenile rheumatoid arthritis and their family?
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