The nurse is caring for a client experiencing polyarthritis associated with rheumatic fever. The nurse anticipates a prescription for which medication?
The nurse is caring for a client experiencing polyarthritis associated with rheumatic fever. The nurse anticipates a prescription for which medication?
A. Prazosin
[15%]
B. Naproxen
[68%]
C. Verapamil
[9%]
D. Furosemide
[7%]
Statistics
Subject/Lesson
Subject
Pharmacology
Lesson
Cardiovascular
Client Need
Test Plan
Pharmacological and Parenteral Therapies
Related Topic
Adverse Effects/Contraindications/Side Effects/Interactions
Item Type
Item Type
Knowledge/Comprehension
Explanation
Choice B is correct. Polyarthritis is characterized by swollen, painful, hot joints that are commonly seen in rheumatic fever. Other manifestations associated with rheumatic fever include chest pain, fever, muffled heart sounds, pericardial friction rub, chorea, muscle weakness, and emotional lability. Treatment for painful polyarthritis is an NSAID or a steroid. Naproxen is commonly used because of its easy dosing schedule.
Choices A, C, and D are incorrect. Prazosin is an antihypertensive medication (alpha-1 blocker) that is indicated to treat hypertension and benign prostatic hyperplasia. This medication has no involvement in the treatment of rheumatic fever. Verapamil is a calcium channel blocker indicated in treating hypertension and migraine headache prophylaxis. It is not indicated in the treatment of polyarthritis-associated rheumatic fever. Furosemide, a loop diuretic, would have no indication in treating polyarthritis.
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2 Key Topics
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Additional Info
✓ Rheumatic fever is a result of an abnormal immune response to a group A streptococci (GAS) infection, usually pharyngitis
✓ Rheumatic fever is self-limiting and is typically triggered after an untreated pharyngitis
✓ Manifestations include fever, polyarthritis, chest pain, muffled heart sounds, emotional lability, chorea, and muscle weakness
✓ Untreated rheumatic fever may cause significant damage to the mitral valve
✓ Treatment for rheumatic fever involves treating the streptococci with antibiotics
✓ Other treatments include NSAIDs or steroids for the inflammation & polyarthritis
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