Which interventions should the nurse include in the plan of care for a hospitalized child who is diagnosed with rheumatoid arthritis (RA)? Select all that apply
1. Performing passive range-of-motion (ROM) exercises with the child
2. Discouraging the child from completing activities of daily living (ADLs)
3. Encouraging periods of rest for the child
4. Placing cool compresses on the child's joints
5. Performing daily weights
1, 3, 5
Explanation:
1. Active and passive ROM is encouraged as this decreases joint stiffness and inflammation.
2. The child should be encouraged, not discouraged, to be as independent as possible with ADLs.
3. Exacerbations of RA often cause fatigue; therefore, it is appropriate for the nurse to encourage rest periods.
4. Warm, not cool, compresses should be placed on the joints.
5. Daily weights are needed, as it is not uncommon for the child with RA to experience reduced activity and metabolic needs yet maintain the same diet, which places the child at risk for overweight and obesity.
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