Pediatric ATI Practice Exam

What is the appropriate intervention for a child with swollen, painful joints diagnosed with rheumatic fever?

1. Encourage ice application to the joints

2. Administer anti-inflammatory medication

3. Monitor joint swelling without intervention

4. Utilize physical therapy immediately

The correct answer is: Encourage ice application to the joints

The intervention that is appropriate for a child with swollen, painful joints diagnosed with rheumatic fever is to administer anti-inflammatory medication. This is essential because rheumatic fever can lead to significant inflammation and pain in the joints, known as migratory arthritis. Anti-inflammatory medications, such as aspirin or other non-steroidal anti-inflammatory drugs (NSAIDs), can help reduce inflammation, alleviate pain, and prevent further joint damage. Managing the condition with medications not only addresses the immediate issue of joint swelling and pain but also helps improve the child's overall comfort and functionality. This intervention aligns with the approach to treating rheumatic fever, which focuses on both symptom relief and preventing complications, such as carditis, that can arise from the underlying inflammatory response. While applying ice may provide some comfort, it does not address the need for adequate anti-inflammatory treatment necessary in this context. Monitoring joint swelling without intervention does not provide the relief needed for the child’s condition, and starting physical therapy should typically occur after ensuring that the inflammation is adequately controlled.