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.
You might also like to view...
The nurse is creating the care plan for a 70-year-old obese patient who has been admitted to the postsurgical unit following a colon resection
This patient's age and increased body mass index mean that she is at increased risk for what complication in the postoperative period? A) Hyperglycemia B) Azotemia C) Falls D) Infection
A client with progestin excess may report which of the following symptoms to the nurse during ongoing assessment during treatment with Estrostep Fe? Select all that apply
A) Amenorrhea B) Late breakthrough bleeding C) Hair loss D) Weight gain E) Hirsutism
You are precepting a new nurse on your unit. You and the new nurse are caring for a patient who has had brachytherapy. The new nurse asks you what brachytherapy involves. What should you respond?
A) Treatment of coronary artery disease B) Insertion of a coronary catheter through the brachial plexus C) The delivery of radiation close to where a stent has been placed. D) The completion of balloon angiography
In assessing the knowledge of a pregestational woman with type 1 diabetes concerning changing insulin needs during pregnancy, the nurse recognizes that further teaching is warranted when the patient states
a. "I will need to increase my insulin dosage during the first 3 months of pregnancy." b. "Insulin dosage will likely need to be increased during the second and third trimesters." c. "Episodes of hypoglycemia are more likely to occur during the first 3 months." d. "Insulin needs should return to normal within 7 to 10 days after birth if I am bottle feeding."