When providing teaching to the family of a school-age child with juvenile idiopathic arthritis, which instruction should the nurse include?

Correct Answer: B

Rationale: Encouraging the child to perform independent self-care is essential when managing juvenile idiopathic arthritis. This instruction helps minimize pain and stiffness in the child's joints while promoting mobility and independence. It is crucial for the child to learn self-management skills early to cope better with the condition in the long term.

Correct Answer: B

Rationale: Administering the vaccine intramuscularly to a child with hemophilia is preferred to reduce the risk of bleeding. Hemophiliac individuals have a decreased ability to form blood clots, and administering vaccines intramuscularly reduces the risk of bleeding compared to subcutaneous administration. Using an appropriate needle length and applying pressure to the site post-injection are important steps, but choosing the intramuscular route is crucial in this case to minimize bleeding complications.

Correct Answer: B

Rationale: In pediatric nursing, understanding the expected manifestations of common childhood illnesses like rotavirus infection is crucial for accurate assessment and intervention. In the case of rotavirus infection, vomiting is the expected manifestation. This is because rotavirus is a leading cause of severe diarrhea and vomiting in infants and young children. Option A, constipation, is incorrect because rotavirus infection typically presents with watery diarrhea, not constipation. Option C, jaundice, is also incorrect as jaundice is not a common symptom of rotavirus infection. Option D, abdominal pain, while possible in some cases, is not as characteristic of rotavirus infection as vomiting. Educationally, this question highlights the importance of recognizing key clinical manifestations of specific pediatric conditions. Understanding these manifestations aids in timely diagnosis, appropriate treatment, and effective patient care in pediatric nursing practice. By knowing the typical symptoms of rotavirus infection, healthcare professionals can provide targeted care and support to children affected by this common viral illness.

Correct Answer: C

Rationale: In pediatric nursing, providing effective discharge teaching is crucial for empowering parents to care for their child with juvenile idiopathic arthritis. The correct answer, option C, "Give your child NSAIDs on a regular schedule," is the most appropriate because NSAIDs (Nonsteroidal Anti-Inflammatory Drugs) are commonly used to manage the pain and inflammation associated with arthritis in children. By administering NSAIDs on a regular schedule as prescribed by the healthcare provider, the parent can help control the child's symptoms and improve their quality of life. Options A, B, and D are incorrect for the following reasons: A) Encouraging the child to sleep for 8 hours each night is a general health recommendation but does not specifically address the management of juvenile idiopathic arthritis. While adequate sleep is important for overall well-being, it is not the primary intervention for arthritis. B) Performing range-of-motion exercises once per week may not be sufficient for a child with juvenile idiopathic arthritis. Consistent and regular physical therapy, including appropriate exercises, is essential in maintaining joint mobility and function in these patients. D) Applying heat to the child's affected joints twice daily may provide temporary relief of symptoms but is not a comprehensive treatment strategy for juvenile idiopathic arthritis. Heat therapy alone is unlikely to address the underlying inflammation and joint damage associated with the condition. In an educational context, it is essential for nurses to provide evidence-based and individualized teaching to parents of children with chronic conditions like juvenile idiopathic arthritis. By explaining the rationale behind specific interventions, nurses can empower parents to become active participants in their child's care and promote positive health outcomes.

Correct Answer: D

Rationale: The correct statement is D because giving the child water after administering digoxin helps ensure the medication is swallowed properly. Mixing the medication with juice (choice A) may affect its absorption. Giving the medication with meals (choice B) may interfere with its effectiveness. Administering a second dose if the child vomits (choice C) is not recommended as it may lead to an overdose.