A child presents to the ER with anemia and leukocytosis. The physician suspects juvenile arthritis. What other physical findings will the nurse assess that relate to diagnosis? SATA
Pain
Joint inflammation
Altered growth
Swelling
Decreased mobility
Correct Answer : A,B,D,E
a) Pain: Children with juvenile arthritis often experience joint pain.
b) Joint inflammation: Inflammation of the joints is a hallmark of juvenile arthritis.
c) Altered growth: Growth alterations might occur in some cases but are not universal findings.
d) Swelling: Joint swelling commonly occurs in juvenile arthritis.
e) Decreased mobility: Reduced range of motion or decreased ability to move joints due to inflammation is typical in juvenile arthritis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a) Red, currant, jelly-like stools: This is a classic indication of intussusception due to the presence of blood and mucus in the stool, a result of intestinal obstruction and ischemia.
b) Absent bowel sounds: Can occur but are not specific to intussusception.
c) Hematemesis: Vomiting blood is not a characteristic sign of intussusception.
d) Bilious emesis: While indicative of gastrointestinal issues, it's not the cardinal sign of intussusception.
Correct Answer is B
Explanation
a) Ineffective tissue perfusion: Though this might be a concern, the highest priority for an HIV-positive child is the risk of acquiring infections due to compromised immunity.
b) Risk for infection: HIV weakens the immune system, significantly increasing the risk of contracting infections. Preventing infections is the primary focus.
c) Risk for fluid volume deficit: While important, it's not the highest priority compared to the risk of infection due to HIV.
d) Ineffective thermoregulation: Not typically the primary concern for an HIV-positive child compared to the increased risk of infections due to the compromised immune system.
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