24 Questions
Which of the following is a significant side effect associated with prolonged use of systemic steroids?
Glucose intolerance
What type of heat is most beneficial for children with arthritis according to the nursing care management?
Moist heat
Which non-pharmacologic modality has been proven effective in modifying pain perception for children?
Behavioral therapy
Regarding dietary recommendations, what should be considered for relatively inactive children with arthritis?
Caloric restriction
Why are daytime naps generally discouraged for children with arthritis?
Daytime inactivity can provoke stiffness
What is the advised approach to managing fatigue in children with arthritis?
Providing rest periods instead of sleep
Under what condition may short-term opioid analgesics be used for children with juvenile arthritis?
For children immobilized with refractory pain
What should be done if joint pain and stiffness prevent a school-aged child with arthritis from attending school?
Contact their rheumatologist
When are asthma symptoms typically worse?
At night or during exercise
Which symptom is part of the second wave of asthma after initial antigen exposure?
Prodromal itching at the front of the neck
What type of cough is caused by bronchial edema in asthma patients?
Paroxysmal, irritative, and nonproductive cough
Which diagnostic test is specifically used to identify inhaled allergens in asthma patients?
Bronchoprovocation testing
What is a key goal of therapeutic management in asthma?
To maintain normal activity levels
Which medication category is used to treat acute asthma symptoms and exacerbations?
Quick-relief medications
How often should spirometry be performed in children with asthma?
Every year or two
Which type of medication is primarily used for long-term control in managing asthma?
Corticosteroids
What is the primary goal of therapy in this context?
Control pain and minimize joint deformity
Which medication is recommended as the second-line treatment for children who do not respond to NSAIDs alone?
Sulfasalazine
Which potential side effect should parents monitor if a child is taking Naproxen?
Abdominal pain and skin fragility
What specific examinations are part of the treatment plan to monitor for complications?
Ophthalmologic slit lamp examinations
Which medication class offers an immediate analgesic effect but requires larger doses and more time for anti-inflammatory effects?
NSAIDs
What should parents monitor in children taking NSAIDs regarding gastrointestinal side effects?
Abdominal pain and blood in the stool
Which adverse effect is associated with Methotrexate?
Bone marrow suppression
Under what circumstances are corticosteroids used?
For life-threatening complications and incapacitating arthritis
Identify the symptoms of an allergic reaction, including chest tightness, intermittent chest pain, and respiratory issues. Test your knowledge of the two waves of symptoms and their characteristics.
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