The nurse is planning care for a 16-year-old, who has juvenile idiopathic arthritis (JIA). The nurse includes activities to strengthen and mobilize the joints and surrounding muscle. Which physical therapy regimen should the nurse encourage the adolescent to implement?

Exercise in a swimming pool.

Begin a training program lifting weights and running.

Perform passive range of motion exercises twice daily.

Splint affected joints during activity.

Answer and Explanation

The Correct Answer is A

Choice A rationale
Juvenile idiopathic arthritis (JIA) is a chronic condition that can cause joint damage and pain. Physical therapy is an essential part of managing JIA, and it often includes a variety of exercises to improve strength, flexibility, and overall joint health. One of the recommended physical activities for JIA patients is exercising in a swimming pool. Water-based exercises, also known as hydrotherapy, are beneficial because the buoyancy, resistance, and warmth of water can help reduce joint stress, increase muscle strength, and improve range of motion.
Choice B rationale
While regular exercise is important for adolescents with JIA, starting a training program that involves weight lifting and running might not be the best option. These activities can put excessive strain on the joints and potentially exacerbate symptoms. It’s crucial to choose low-impact exercises that won’t put too much stress on the joints.
Choice C rationale
Passive range of motion exercises can be beneficial for maintaining joint mobility in JIA patients. However, these exercises alone may not be sufficient for strengthening and mobilizing the joints and surrounding muscles. A comprehensive physical therapy regimen, including a combination of strengthening, stretching, and aerobic exercises, is typically recommended.
Choice D rationale
Splinting can be used in JIA management to help maintain bone and joint alignment and prevent deformities. However, splinting is typically used as an adjunct to other treatments and not as the primary method of encouraging joint mobilization and muscle strengthening. Therefore, while splinting can be beneficial, it should not be the only strategy implemented for physical therapy.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A rationale
While a fever could indicate an infection or other illness, it is not the most concerning symptom in a child with croup. Croup is primarily a respiratory condition, and symptoms related to breathing difficulties are generally of greater concern.
Choice B rationale
A barking cough is a common symptom of croup, but it is not typically the primary concern for a telephone triage nurse. While it can be distressing, it is not usually a sign of a severe or life-threatening condition.
Choice C rationale
Frequent crying during nursing could indicate discomfort or distress, but it is not the most concerning symptom in a child with croup. Croup primarily affects the respiratory system, and symptoms related to breathing difficulties are generally of greater concern.
Choice D rationale
Difficulty swallowing secretions is the most concerning symptom in a child with croup. This could indicate severe swelling of the airway, which could potentially lead to breathing difficulties and require immediate medical attention.

A. Use a disposable moist wipe to remove eye crusts. B. Prepare the child for blurry vision after ointment application. C. Remove secretions by wiping toward the opposite eye. D. Discontinue the ointment once drainage resolves.

Correct Answer is B

Explanation

Choice A rationale
Using a disposable moist wipe to remove eye crusts can be helpful, but it’s not the most important instruction for caregivers. The crusts are a symptom of the infection, and while removing them can make the child more comfortable, it doesn’t address the underlying issue.
Choice B rationale
When using an ophthalmic anti-infective ointment, it is important to prepare the child for blurry vision after ointment application. This is because the ointment can temporarily blur vision after application. It is important to follow the instructions on the medication label and continue using the ointment for the full course of treatment, even if symptoms improve before then.
Choice C rationale
While it’s important to keep the eye area clean, wiping towards the opposite eye could potentially spread the infection. Therefore, this is not the best advice for caregivers.
Choice D rationale
Discontinuing the ointment once drainage resolves could lead to an incomplete treatment of the infection. It’s crucial to use the ointment for the full course of treatment as prescribed by the healthcare provider, even if symptoms seem to improve.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse is planning care for a 16-year-old, who has juvenile idiopathic arthritis (JIA). The nurse includes activities to strengthen and mobilize the joints and surrounding muscle. Which physical therapy regimen should the nurse encourage the adolescent to implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When advising a new mother on caring for a child with croup, which symptom should be a priority concern for the telephone triage nurse?

Correct Answer is D

Explanation

The nurse is caring for a school-age child with crusting and swollen eyelids, purulent drainage, and inflamed conjunctiva. The child receives a prescription for an ophthalmic antinfective ointment. What instruction should the nurse provide the child’s caregivers during discharge education?

Correct Answer is B

Explanation

The nurse is educating the caregiver of a school-age child who has recently been diagnosed with attention-deficit hyperactivity disorder (ADHD). Which of the caregiver’s statements indicate that they have understood the education? (Select all that apply.)

The nurse is assessing the growth and development of a 3-year-old child. Which speech and language skills should the nurse identify as normal developmental milestones for this child?

The nurse is assessing the growth and development of a 3-year-old child. Which speech and language skills should the nurse identify as normal developmental milestones for this child?

A child has been prescribed loratadine 5 mg to be taken orally once a day. The bottle is labeled “Loratadine for Oral Suspension, USP 5 mg per 5 mL.”. How many teaspoons should the nurse instruct the parent to give with each dose?

A male adolescent comes to the clinic reporting severe testicular pain that started during a high school football practice. The nurse notes significant redness and swelling of the scrotum. What should the nurse do next?

The nurse is teaching a school-age child with left femoral osteomyelitis and the child’s parent before discharge. What instruction should the nurse give related to the initial phase of treatment?