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A nurse is providing discharge instructions to a parent and their school-age child who has juvenile idiopathic arthritis.

Which of the following instructions should the nurse include?

A.

Encourage the child to take a 45-minute nap daily.

B.

Administer prednisone on an alternate-day schedule.

C.

Allow the child to stay at home on days when their joints are painful.

D.

Apply cool compresses for 20 minutes every hour.

Answer and Explanation

The Correct Answer is B

Prednisone is a type of steroid medicine that helps decrease severe inflammation and is usually given for a short time while other medicines are started that can take longer to be effective.
Choice A is not an answer because there is no information available that suggests taking a 45-minute nap daily would be beneficial for a child with juvenile idiopathic arthritis.
Choice C is not an answer because it may not be necessary for the child to stay at home on days when their joints are painful.
Choice D is not an answer because applying cool compresses for 20 minutes every hour may not be the most effective way to manage pain and inflammation.
 


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Related Questions

Correct Answer is D

Explanation

Individuals with spina bifida who are paralyzed from the waist down may have difficulty emptying their bladder completely and may need to perform intermittent catheterization.
The frequency of catheterization can vary depending on the individual’s needs, but it is typically performed every 3-6 hours or 4-6 times per day.
Choice A, “I do wheelchair exercises while watching TV,” is a positive statement because exercise is important for overall health and well-being.
Choice B, “I carry a water bottle with me because I drink a lot of water,” is also a positive statement because staying hydrated is important for overall health.
Choice C, “I use a suppository every night to have a bowel movement,” is not necessarily an indication for further teaching because some individuals with spinal bifida may need to use bowel management techniques such as suppositories to help regulate bowel movements.

Correct Answer is C

Explanation

Infants with spina bifida are at an increased risk of developing a latex allergy
due to repeated exposure to latex products during medical procedures.
Providing a latex-free environment can help prevent the development of an allergy.
Choice A is not correct because limiting visitors to immediate family members is not necessary for the care of an infant undergoing surgical closure of the myelomeningocele sac.
Choice B is not correct because maintaining the infant in the supine position is not necessary for this procedure.
Choice D is not correct because initiating contact precautions is not necessary for this procedure.

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