A nurse is providing discharge instructions to a parent and their school-age child who has juvenile idiopathic arthritis.
Which of the following instructions should the nurse include?
Encourage the child to take a 45-minute nap daily.
Administer prednisone on an alternate-day schedule.
Allow the child to stay at home on days when their joints are painful.
Apply cool compresses for 20 minutes every hour.
The Correct Answer is B
Prednisone is a type of steroid medicine that helps decrease severe inflammation and is usually given for a short time while other medicines are started that can take longer to be effective.
Choice A is not an answer because there is no information available that suggests taking a 45-minute nap daily would be beneficial for a child with juvenile idiopathic arthritis.
Choice C is not an answer because it may not be necessary for the child to stay at home on days when their joints are painful.
Choice D is not an answer because applying cool compresses for 20 minutes every hour may not be the most effective way to manage pain and inflammation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
When determining that Bryant's traction is appropriately assembled, the nurse should observe that the buttocks is elevated slightly off of the bed.
In Bryant traction, both of the patient’s limbs are suspended in the air vertically at a ninety-degree angle from the hips and knees slightly flexed.
Choice A is incorrect because a padded sling is not used under the knee of the affected leg in Bryant traction.
Choice B is incorrect because skin straps are not used to maintain the leg in an
extended position in Bryant traction.
Choice C is incorrect because weights are not attached to a pin that is inserted into the femur in Bryant traction.
Correct Answer is D
Explanation
The nurse should first notify the provider about the bruises observed on the toddler.
Choice A is not correct because while it may be important to gather information from the parents, the nurse’s first action should be to notify the provider.
Choice B is not correct because while it may be important to gather information from the toddler, the nurse’s first action should be to notify the provider.
Choice C is not correct because while notifying social services may be necessary in some cases, the nurse’s first action should be to notify the provider.
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