The nurse is providing instructions to the parents of a child with scoliosis regarding the use of a brace. Which statement by the parents indicates a need for further instruction?

A. Need for increased caloric intake:
Incorrect: While toddlers may have specific nutritional needs, it is important to focus on a balanced diet rather than emphasizing increased caloric intake. The emphasis should be on providing nutritious and age-appropriate foods.
B. How to encourage cooperative play:
Correct Answer: Encouraging cooperative play is important for a toddler's social development. It involves teaching sharing, taking turns, and interacting with other children.
C. Management of tantrums:
Incorrect: While guidance on managing tantrums can be part of parenting education, it may not be the primary focus in health promotion teaching. The emphasis is typically on positive guidance, effective communication, and setting age-appropriate limits.
D. Dental care:
Correct Answer: Dental care is crucial for toddlers to promote oral health. The nurse should provide information on proper oral hygiene practices, including tooth brushing, and discuss the importance of regular dental check-ups.
E. How to establish trust:
Correct Answer: Establishing trust is a vital aspect of toddler development. The nurse can provide guidance on building a secure and trusting relationship between the child and parents.

A. Administer prednisone on an alternate-day schedule.
Explanation: Prednisone, a corticosteroid, is often prescribed to manage inflammation and symptoms in juvenile idiopathic arthritis. An alternate-day schedule helps minimize the risk of side effects associated with prolonged corticosteroid use.
B. Apply cool compresses for 20 minutes every hour.
Incorrect: While cool compresses can provide relief for joint pain associated with arthritis, applying them every hour may be excessive and is not a standard recommendation. It's important to use cooling measures judiciously.
C. Encourage the child to take a 45-minute nap daily.
Incorrect: While adequate rest is important for overall health, suggesting a specific duration for a nap may not be universally applicable. The child's need for rest and sleep should be based on individual factors, and a specific time frame is not a standard recommendation for juvenile idiopathic arthritis.
D. Allow the child to stay at home on days when her joints are painful.
Incorrect: While it's important to consider the child's comfort and well-being, keeping the child at home solely on days of joint pain may not be necessary. The goal is to manage symptoms effectively to allow participation in normal daily activities, including school. Restricting activities solely based on joint pain is not the typical approach to managing juvenile idiopathic arthritis.