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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Providing clients with information about the benefits of exercise: Educating clients on exercise is an example of primary prevention, aimed at promoting overall health and preventing the onset of disease in healthy individuals.

B. Using an electronic messaging system to remind clients when to take medications: This is an example of tertiary prevention because it helps manage an existing condition (HIV) and prevents complications by promoting adherence to treatment, reducing disease progression and related morbidity.

C. Helping clients understand health screenings covered by their insurance plans: Assisting clients with preventive screenings falls under secondary prevention, which focuses on early detection and prompt intervention to reduce disease impact.

D. Educating clients about contraindications to specific immunizations: Teaching about vaccine contraindications is part of primary prevention, aiming to prevent illness before it occurs by ensuring safe immunization practices.

A. Place the client in seclusion when they exhibit signs of anxiety. B. Withdraw the client's TV privileges if they do not attend group therapy. C. Encourage the client to take frequent rest periods. D. Encourage the client to spend time in the dayroom.

Correct Answer is C

Explanation

A. Place the client in seclusion when they exhibit signs of anxiety: Seclusion is only indicated for clients who pose a risk of harm to themselves or others, not solely for anxiety. Using seclusion inappropriately can increase agitation and escalate manic behavior.

B. Withdraw the client's TV privileges if they do not attend group therapy: Withholding privileges as punishment is nontherapeutic and can damage rapport. Clients experiencing mania may have impaired attention and judgment, so punitive measures are ineffective and may exacerbate symptoms.

C. Encourage the client to take frequent rest periods: Clients in the manic phase often have decreased need for sleep and may become physically and mentally exhausted. Encouraging rest periods helps prevent fatigue, maintains physiological functioning, and supports overall stabilization during mania.

D. Encourage the client to spend time in the dayroom: While socialization can be therapeutic for some clients, highly stimulating environments may worsen agitation and distractibility in clients experiencing mania. Controlled, low-stimulation settings are often more appropriate.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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