A patient is started on prednisone therapy. Which of these goals should be given priority in the patient's plan of care?

Choice A rationale:

Maintaining supplemental oxygen is not directly relevant to the management of hemarthrosis in a patient with hemophilia. Hemarthrosis is bleeding into a joint due to impaired clotting factors in hemophilia, and oxygen supplementation is not a primary intervention.

Choice B rationale:

Elevating the head of the bed 45 degrees is not the most appropriate action for hemarthrosis. Elevation would not address the joint bleeding, and it could potentially cause discomfort to the patient.

Choice C rationale:

Providing passive range-of-motion exercises to all extremities is contraindicated in this scenario. Active or passive range-of-motion exercises could exacerbate bleeding and further damage the affected joint in a patient with hemarthrosis.

Choice D rationale:

Immobilizing the affected joint is the correct nursing action. Immobilization helps to prevent further bleeding and joint damage. By limiting movement, the risk of exacerbating the bleeding is minimized, promoting healing and reducing pain.

Choice A rationale:

An adult's immune system does not prevent infection with Rotavirus. Adults can also be infected, although the severity of illness tends to be milder than in infants and young children.

Choice B rationale:

The highest rates of Rotavirus illness do occur in infants and young children. This is because young age groups have a lower level of immunity and are more susceptible to severe infections.

Choice C rationale:

The best treatment to prevent Rotavirus transmission is appropriate hand washing. Rotavirus is highly contagious and can be transmitted through contaminated hands, surfaces, and objects.

Choice D rationale:

Epidemics of Rotavirus do not specifically occur in the months from November to April. Rotavirus infections can occur throughout the year, with seasonal variation.