During painful episodes of juvenile arthritis, a plan of care ...

[humphriesbr@me.com]

During painful episodes of juvenile arthritis, a plan of care should include which nursing intervention?
 
  a. A weight-control diet to decrease stress on the joints
  b. Proper positioning of the affected joints to prevent musculoskeletal complications
  c. Complete bed rest to decrease stress to joints
  d. High-resistance exercises to maintain muscular tone in the affected joints

Question 2

A primary nurse bought a hospitalized child a new toy to replace a broken one. What is the best interpretation of the nurse's behavior?
 
  a. The nurse is displaying signs of overinvolvement.
  b. The nurse is a kind and generous person.
  c. The nurse feels a special closeness to the child.
  d. The nurse wants to make the child happy.

[ApricotDream]

Answer to Question 1

B
Proper positioning is important to support and protect affected joints. Isometric exercises and passive range-of-motion exercises will prevent contractures and deformities. Children in pain often are anorexic and need high-calorie foods. Children with juvenile arthritis need a combination of rest and exercise and need to avoid high-resistance exercises. They also benefit from low-resistance exercises such as swimming.

Answer to Question 2

A
Buying gifts for individual children is a warning sign of overinvolvement. Nurses are kind and generous people, but buying gifts for individual children is unprofessional. Nurses may feel closer to some clients and families. This does not make giving gifts to children or families acceptable from a professional standpoint and becoming overly involved with a child can inhibit a healthy relationship. It is also not the nurse's responsibility to replace lost or broken items.

[humphriesbr@me.com]

Thank you

[ApricotDream]

Happy to help you