Exhibits

A nurse in an emergency department is caring for a 3-month-old infant. Which of the following actions should the nurse take?

A. "I will encourage my child to participate in physical activities." Physical activity helps maintain joint function and muscle strength. It is beneficial for managing juvenile idiopathic arthritis.

B. "I will apply cold packs to my child's swollen, painful joints." Warm packs are typically more beneficial for juvenile idiopathic arthritis to relieve pain and stiffness. Cold packs are less commonly recommended.

C. "I will administer NSAIDs 1 hour before meals." NSAIDs should be given with food or milk to minimize gastrointestinal irritation, not before meals.

D. "I will dress my child and clean their room for them." Encouraging independence is important. While assistance may be necessary during flares, fostering independence is crucial for self-esteem and physical function.

A. Hematemesis (vomiting blood): Hematemesis (vomiting blood) is not typically associated with celiac disease. It is more commonly seen in conditions like gastrointestinal bleeding, ulcers, or esophageal varices.

B. Increased hemoglobin level: Celiac disease can lead to malabsorption of nutrients, including iron, which often results in anemia and decreased hemoglobin levels rather than increased hemoglobin levels.

C. Redcurrant, jelly-like stools: Redcurrant jelly-like stools are characteristic of intussusception, not celiac disease. Intussusception is a condition where part of the intestine folds into another section, leading to obstruction and characteristic stools.

D. Pale, oily stools: Pale, oily (steatorrhea) stools are a common finding in celiac disease. This is due to malabsorption of fats caused by damage to the small intestine's lining, leading to the excretion of undigested fats in the stool.