A nurse is teaching the parents of a school-age child who is newly diagnosed with juvenile idiopathic arthritis. Which of the following interventions should the nurse include in the teaching?
Apply splints to the child's extremities during the day.
Have the child take a tub bath each morning.
Encourage the child to take naps during the day.
Keep the child on bedrest as long as pain persists.
The Correct Answer is B
A. Apply splints to the child's extremities during the day: Splints are typically used at night or as prescribed to prevent contractures and support joints, not during active daytime periods. Daytime use may restrict movement unnecessarily.
B. Have the child take a tub bath each morning: A warm bath helps relieve morning stiffness and joint pain associated with juvenile idiopathic arthritis. The heat promotes muscle relaxation and increased joint mobility, making it easier for the child to engage in daily activities.
C. Encourage the child to take naps during the day: While rest is important, excessive daytime sleep is not a primary intervention for managing joint stiffness or pain. Short rest periods are preferred instead of prolonged naps.
D. Keep the child on bedrest as long as pain persists: Prolonged bedrest can worsen joint stiffness and muscle atrophy. Encouraging gentle movement and activity is important to maintain joint function while managing pain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Use a 15° angle for the injection: Subcutaneous insulin injections should be administered at a 90° angle for most adults and children with adequate subcutaneous tissue. A 15° angle is too shallow and may result in intradermal administration, affecting absorption.
B. Roll the syringe gently to ensure mixture of the insulins: Only the NPH insulin vial should be gently rolled between the hands to resuspend the cloudy insulin. Regular insulin is clear and should not be shaken, and the mixture occurs in the syringe after drawing up each insulin in the correct sequence.
C. Draw up regular insulin prior to NPH insulin: Drawing up regular (clear) insulin before NPH (cloudy) insulin prevents contamination of the short-acting insulin with intermediate-acting insulin, maintaining proper pharmacologic action and preventing altered onset or peak times.
D. Inject into the vastus lateralis: The preferred sites for subcutaneous insulin injections are the abdomen, upper arm, or anterior thigh. The vastus lateralis can be used in infants but is not the standard site for older children or adults.
Correct Answer is A
Explanation
A. Beneficence: Beneficence involves actions that promote the well-being of others and provide comfort, support, or care. By sitting with the client to offer emotional support following the loss of a partner, the nurse is actively promoting the client’s welfare and demonstrating compassion, which aligns with the ethical principle of beneficence.
B. Fidelity: Fidelity refers to maintaining trust and keeping promises or commitments to clients. While important in nursing, simply providing comfort through presence does not directly involve promise-keeping, making this principle less applicable in this scenario.
C. Veracity: Veracity is the obligation to tell the truth and provide accurate information. Sitting with the client for emotional support does not involve disclosure or truth-telling, so it is not the primary ethical principle demonstrated here.
D. Autonomy: Autonomy pertains to respecting a client’s right to make their own informed decisions about care. Providing comfort through presence supports well-being but does not involve facilitating or respecting decision-making in this situation.
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