A nurse in a provider's office is collecting data from an adolescent who has juvenile idiopathic arthritis and has been taking ibuprofen daily for the last 6 months. Which of the following client statements should the nurse report to the provider?

Rationale:

A) Inability to hold a bottle is typically achieved by 4-6 months, so it might indicate a developmental delay.

B) Palmar grasp is a primitive reflex typically seen in newborns, and it should be replaced by more voluntary grasping patterns by 8 months.

C) Sitting unsupported is a milestone typically achieved by 6-8 months, indicating expected growth and development at 8 months.

D) Forcing the tongue outward when touched might indicate tongue thrust reflex, which should typically disappear around 4-6 months.

Rationale:

A) Watching cartoons with peers may increase the risk of transmitting varicella- zoster virus to other children who may not be immune, as well as expose the child to potential infections from other sick children.

B) Pulling a wagon of stuffed animals in the hallway is too strenuous for a child with pneumonia.

C) Writing a letter to send to a friend may be an appropriate activity for a child with pneumonia, but it involves sitting still for an extended period, which may not be as beneficial as a more physically engaging activity.

D) Playing an alphabet flashcard game with the parent is appropriate for a 4-year-old child's cognitive development and does not require physical exertion or exposure to other children who might be susceptible to varicella zoster infection.