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Pediatric Primary Care, 6th Edition Test Bank ';topic, Rheumatic, and Immunodeficiency Disorders.
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An adolescent female reports poor sleep, fatigue, muscle and joint paint, and anxiety lasting for several months. The primary care pediatric nurse practitioner notes point tenderness at several sites. What will the nurse practitioner do next?
a. Evaluate the adolescent’s pain using a numeric pain scale.
b. Obtain ANA, CBC, liver function, and muscle enzymes tests.
c. Reassure the adolescent that this condition is not lifethreatening.
d. Refer the adolescent to a rheumatologist for further evaluation.
An adolescent female reports poor sleep, fatigue, muscle and joint paint, and anxiety lasting for se...
ANS: D
Children with widespread musculoskeletal pain and painful point tenderness may have fibromyalgia and should be referred. The Widespread Pain Index is used to define the degree of pain. Laboratory studies are of little benefit when diagnosing fibromyalgia. Even though children need reassurance that this disease is not life-threatening, this is not the next action.
The primary care pediatric nurse practitioner is managing care for a child who has JIA who has a positive ANA. Which specialty referral is critical for this child?
a. Cardiology
b. Ophthalmology
c. Orthopedics
d. Pain management
The primary care pediatric nurse practitioner is managing care for a child who has JIA who has a pos...
ANS: B
An ophthalmology consultation is critical for children with JIA who have a positive ANA. Uveitis occurs in up to 35% of children with JIA who have a positive ANA. Other specialists may be consulted for specific symptoms.
The parent of a school-age child who is diagnosed with oligoarticular JIA asks the primary care pediatric nurse practitioner what exercises the child may do to help reduce symptoms. What will the nurse practitioner recommend?
a. Running
b. Swimming
c. Weights
d. Yoga
The parent of a school-age child who is diagnosed with oligoarticular JIA asks the primary care pedi...
ANS: B
Swimming is an excellent exercise for children with JIA because water therapy and the use of heat or cold reduce pain and stiffness, unless they have severe anemia or cardiac involvement
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