A patient is receiving glucocorticoids for the treatment of rheumatoid arthritis. The patient complains of having a headache. Which ordered medication should the nurse administer?

Correct Answer: B

Rationale: When a patient is already receiving glucocorticoids for rheumatoid arthritis and complains of a headache, it is essential to consider the potential interactions and side effects of additional medications. Aspirin and NSAIDs like ibuprofen and naproxen sodium can increase the risk of gastrointestinal irritation and ulceration when used concurrently with glucocorticoids. Acetaminophen is a safer choice in this scenario for managing the patient's headache without exacerbating the gastrointestinal issues associated with the use of glucocorticoids.

Correct Answer: D

Rationale: The correct answer is D. Tetracycline antibiotics can bind to calcium in dairy products, decreasing the absorption of the antibiotic. This may result in reduced effectiveness of the medication. Additionally, tetracycline antibiotics can cause permanent staining of teeth, especially in children below 8 years of age and in pregnant women. Therefore, it is crucial for the patient to be aware of this potential side effect and to discuss any concerns with their healthcare provider.

Correct Answer: A

Rationale: Activity or task analysis has been a fundamental method in occupational therapy for over a century. It involves breaking down activities or tasks into smaller components to understand the skills required and identify areas of difficulty. This process helps occupational therapists develop effective intervention strategies to improve a client's ability to perform daily activities independently.

Correct Answer: A

Rationale: In pediatrics nursing, understanding the behavior and development of children is crucial. The correct answer, option A, "They exhibit flexible problem-solving," is true regarding playful children. Play is a natural way for children to explore, learn, and develop cognitive skills. Through play, children practice problem-solving, creativity, and critical thinking, fostering their cognitive flexibility. Option B, "They have low intelligence scores," is incorrect. Intelligence scores are not determined by a child's playful nature. In fact, play can enhance cognitive abilities and contribute to intellectual development. Option C, "They need clear rules and directions to succeed," is also incorrect. While rules and directions are important for structure and safety, playful children often thrive in environments that allow for creativity and exploration within boundaries. Option D, "They do not perform well in school," is misleading. Playful children can excel in school as play promotes social skills, emotional regulation, and cognitive development, all of which are beneficial for academic success. Educationally, understanding the importance of play in child development is essential for pediatric nurses. By recognizing that play enhances problem-solving skills and overall development, nurses can support and encourage playful behaviors in children under their care, promoting holistic growth and well-being.

Correct Answer: C

Rationale: A top-down evaluation approach prioritizes understanding the child's daily life, family routines, interests, and habits to ensure that the therapy provided is relevant and meaningful within the child's natural environment. By starting with family interviews, the occupational therapist gains insight into the child's context, allowing for a more holistic and client-centered evaluation process.