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.

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Free Nursing Study Resources

Correct Answer is ["1.8"]

Explanation

Step 1: Calculate the total dose of diazepam for this child by multiplying the child’s weight (30 kg) by the prescribed dose (0.3 mg/kg). This calculation gives a total dose of 9 mg (30 kg × 0.3 mg/kg = 9 mg).

Step 2: Divide the total dose (9 mg) by the concentration of the medication (5 mg/mL) to determine the volume to be administered. This calculation gives a volume of 1.8 mL (9 mg ÷ 5 mg/mL = 1.8 mL).

A. List of achievement timeline for developmental milestones. B. Mother’s use of alcohol, drugs, or cigarettes during pregnancy. C. Reactions to any previous hospitalizations. D. A history of rubella, rubeola, or chicken pox.

Correct Answer is C

Explanation

Choice A rationale
While a list of achievement timeline for developmental milestones can provide useful information about the child’s overall development, it may not be the most critical information when planning care for an umbilical hernia repair.
Choice B rationale
The mother’s use of alcohol, drugs, or cigarettes during pregnancy can have long-term effects on the child’s health, but it may not be the most relevant information for planning care for an umbilical hernia repair.
Choice C rationale
Knowing how the child reacted to any previous hospitalizations can provide valuable insight into the child’s previous healthcare experiences. This information can help the nurse plan care that is appropriate for the child’s emotional and developmental needs during the hospitalization for an umbilical hernia repair.
Choice D rationale
A history of rubella, rubeola, or chicken pox is important for the child’s medical history, but it may not be the most critical information when planning care for an umbilical hernia repair.

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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

Correct Answer is ["1.8"]

Explanation

A six-year-old girl is being admitted to the hospital for repair of an umbilical hernia. Which information, collected by the admitting nurse, is particularly helpful in planning care for this child?

Correct Answer is C

Explanation

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