Which of the following is a common feature of giant cell arteritis?

Correct Answer: D

Rationale: In pediatric nursing, understanding the key features of diseases like giant cell arteritis is crucial for accurate assessment and intervention. In this case, the correct answer is D) All of the above - headache, jaw claudication, and vision loss are common features of giant cell arteritis. Headache is a common symptom due to inflammation of the temporal arteries. Jaw claudication, or pain with chewing, is a hallmark feature of giant cell arteritis, reflecting inadequate blood supply to the jaw muscles. Vision loss can occur due to involvement of the ophthalmic artery, leading to ischemic optic neuropathy. Options A, B, and C are incorrect individually because they each only capture one aspect of giant cell arteritis. Understanding the combination of symptoms is essential in making a prompt diagnosis and preventing complications in pediatric patients. Educationally, this question reinforces the importance of recognizing the multifaceted presentation of diseases in pediatric nursing. By comprehensively assessing symptoms and understanding their implications, nurses can provide timely and effective care for pediatric patients with conditions like giant cell arteritis.

Correct Answer: A

Rationale: Rationale: The correct answer is A) Job displacement. Automation refers to the use of technology and machines to perform tasks that were previously done by humans. In the context of pediatric nursing, automation in healthcare can lead to job displacement as certain tasks or roles may become automated, leading to a reduced need for human workers in those specific areas. This can have significant implications for the workforce, including potential job loss or the need for workers to acquire new skills to remain employable in a more automated environment. Option B) Increased manual labor is incorrect because automation is aimed at reducing manual labor by replacing it with automated processes. It is designed to streamline tasks and make processes more efficient, rather than increasing manual labor. Option C) Higher demand for low-skilled workers is also incorrect because automation tends to replace low-skilled tasks with technology. While there may be a shift in the types of skills demanded in the workforce, automation typically reduces the need for low-skilled workers. Option D) Reduced innovation is incorrect because automation can actually spur innovation by freeing up human workers to focus on more complex and creative tasks. Automation can lead to the development of new technologies and approaches in pediatric nursing, enhancing the quality of care provided to patients. In an educational context, understanding the consequences of automation in pediatric nursing is crucial for students to anticipate and adapt to changes in the healthcare industry. By grasping the potential impact of automation on job roles and skills required, students can better prepare themselves for future career challenges and opportunities in pediatric nursing.

Correct Answer: A

Rationale: The correct answer is A) periodic slit-lamp examination. In a child with juvenile idiopathic arthritis (JIA), especially with a positive ANA, it is crucial to monitor for the development of uveitis, a common complication. Uveitis can be asymptomatic initially but can lead to serious ocular complications if not detected early. Periodic slit-lamp examinations are recommended to screen for uveitis in children with JIA, particularly those with positive ANA. Option B) periodic erythrocyte sedimentation rate (ESR) monitoring and option C) periodic C-reactive protein (CRP) monitoring are general inflammatory markers used in JIA management but do not specifically address the risk of uveitis in this case. Option D) ANA measurement has already been done and found to be significantly positive, indicating an increased risk for uveitis. However, monitoring ANA levels alone does not provide direct information about the ocular complications associated with JIA. In an educational context, understanding the importance of specific monitoring and examinations tailored to the individual needs of pediatric patients with JIA is crucial for early detection and management of potential complications, such as uveitis, to optimize their outcomes and quality of life.

Correct Answer: C

Rationale: The correct answer is C) asymmetrical enthesitis. Enthesitis-Related Arthritis (ERA) is characterized by inflammation at the site where tendons and ligaments insert into the bone, known as entheses. This is a key feature of ERA and distinguishes it from other subtypes of juvenile idiopathic arthritis (JIA). Asymmetrical enthesitis, especially involving the lower limbs, is a hallmark of ERA. Option A) symmetrical arthritis early in the disease course is more indicative of other subtypes of JIA, such as oligoarticular JIA, rather than ERA. Option B) early involvement of more than 5 joints is more commonly seen in polyarticular JIA, not specifically indicative of ERA. Option D) involvement of upper limb joints is not a distinguishing feature of ERA, as it typically affects the lower limbs more prominently. Understanding the specific clinical features of different subtypes of JIA, such as ERA, is crucial for pediatric nurses to accurately assess, diagnose, and provide appropriate care for children with rheumatic diseases. Recognizing these distinctions can lead to early intervention and better outcomes for patients.

Correct Answer: A

Rationale: In this question, the correct answer is A) isoniazid. Isoniazid is a medication commonly used to treat tuberculosis, but it is also known to be associated with drug-induced lupus erythematosus (DILE). Drug-induced lupus is a rare condition where certain medications can trigger lupus-like symptoms in susceptible individuals. Isoniazid is particularly known to cause DILE due to its association with anti-histone antibodies, a hallmark of drug-induced lupus. Symptoms of DILE typically resolve once the medication is stopped. Now, let's discuss why the other options are incorrect: B) Rifampin is a medication used to treat tuberculosis as well, but it is not commonly associated with drug-induced lupus. C) Nitrofurantoin is an antibiotic used to treat urinary tract infections, and while it can cause drug-induced autoimmune reactions, it is not typically associated with lupus. D) Penicillin is a commonly used antibiotic that is not known to be associated with drug-induced lupus. Educational Context: Understanding the side effects and adverse reactions of medications is crucial for healthcare professionals, especially in pediatrics where dosages and drug interactions need to be carefully monitored. Recognizing drug-induced lupus as a potential adverse effect of certain medications, like isoniazid, helps nurses and pediatric caregivers provide safe and effective care to their patients. By knowing the characteristics of DILE-inducing drugs, healthcare providers can promptly identify and manage such reactions, ensuring the best outcomes for pediatric patients.