A nurse is teaching the parents of a pediatric client who has been diagnosed with systemic juvenile idiopathic arthritis (JIA) about long-term effects. Which of the following statements should the nurse include in their teaching?
"JIA can cause joint damage leading to permanent deformities and reduced mobility."
"JIA has no long-term developmental effects as long as it is treated with NSAIDS."
The inflammation of the joints experienced with this type of JIA is mild."
"Most children do not need any treatment beyond monitoring, and they will grow out of this type of JIA."
The Correct Answer is A
A. "JIA can cause joint damage leading to permanent deformities and reduced mobility.": Systemic juvenile idiopathic arthritis involves chronic inflammation that can damage cartilage and bone over time. Without effective management, this can result in joint deformities, limited range of motion, and functional impairment, highlighting the importance of long-term monitoring and therapy.
B. "JIA has no long-term developmental effects as long as it is treated with NSAIDs.": NSAIDs help manage pain and inflammation but do not prevent all complications. Children with JIA may still experience growth disturbances, joint damage, or delays in physical development despite treatment.
C. "The inflammation of the joints experienced with this type of JIA is mild.": Systemic JIA can involve severe, persistent inflammation affecting multiple joints and sometimes organs. Describing it as mild underestimates disease severity and may give parents false reassurance.
D. "Most children do not need any treatment beyond monitoring, and they will grow out of this type of JIA.": Systemic JIA often requires pharmacologic interventions such as NSAIDs, corticosteroids, or disease-modifying antirheumatic drugs. The disease does not spontaneously resolve in most cases, and untreated inflammation can cause permanent damage.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Sucking reflex: The sucking reflex requires the newborn to be awake and alert to coordinate sucking motions, so it cannot be reliably assessed while the infant is asleep.
B. Rooting reflex: The rooting reflex also requires the newborn to be awake and responsive, as it depends on the infant turning the head toward a tactile stimulus near the mouth.
C. Plantar grasp reflex (Babinski): The plantar grasp reflex can be assessed even when the newborn is asleep, as it involves applying gentle pressure to the sole of the foot, causing toe flexion. It is a reliable indicator of neurological integrity in the sleeping state.
D. Moro (startle) reflex: The Moro reflex requires the infant to be awake and responsive to sudden stimuli or a gentle drop sensation, making it unsuitable for assessment during sleep.
Correct Answer is A
Explanation
A. "My child can participate in noncontact sports like swimming and rowing.": After nephrectomy, protecting the remaining kidney from trauma is essential. Noncontact activities such as swimming and rowing are appropriate because they promote physical activity while minimizing the risk of blunt abdominal injury.
B. "I need to ensure my child avoids salty foods but there are no concerns about physical activity.": While moderate sodium intake supports kidney health, physical activity restrictions are necessary to prevent injury to the single remaining kidney. Ignoring activity precautions places the child at unnecessary risk.
C. "Because my child has only one kidney, I will encourage increased physical activity to strengthen it.": Kidneys do not strengthen with increased physical activity. Excessive or unsafe activity can increase the risk of trauma to the remaining kidney rather than provide protection.
D. "My child will be able to play boxing next year.": Boxing is a high-contact sport with significant risk of abdominal trauma. Participation in contact sports is generally discouraged for children with a single functioning kidney to prevent serious injury.
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