A mother with a child with Juvenile Idiopathic Arthritis calls ...

[colton]

A mother with a child with Juvenile Idiopathic Arthritis calls the clinic nurse because the child is having a pain exacerbation. The mother asks the nurse if the child can continue with her range of motion exercises at the time.
 
  The appropriate nursing response is: 1. Range of motion exercises should be done every day..
   2. Have the child do isometric exercises during this time..
   3. Administer additional pain medication before doing the exercises..
   4. Avoid exercises during this time..

Question 2

When assessing a child with epiglotitus, the nurse should assess for all of the following except:
 
  1. Drooling.
   2. Dysphonia.
   3. Stridor.
   4. Crackles in the upper lungs.

[Tabitha_2016]

Answer to Question 1

3
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1. Pain control will be important when doing the exercises and should be addressed prior to the activity.
2. Isometrics can increase the pain. Non-weight-bearing exercises would be a better choice for the child.
3. Pain medication should be provided to aid in the child getting the most out of the therapy.
4. Exercising will be important to maintain as high of a function as possible.

Answer to Question 2

4
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1. Drooling can indicate swelling of the epiglottitis because the secretions are not able to go to the stomach.
2. Dysphonia can occur because of the swelling.
3. Stridor is common because of the swelling of the epiglottitis.
4. Crackles are heard in lower respiratory illnesses, not the upper respiratory illnesses in children.