CMSRN Medical-Surgical Nursing

Category - Hematological

Kaitlyn, 10 years old, was diagnosed with juvenile rheumatoid arthritis. The nurse is teaching her regarding measures that would reduce the risk of activity intolerance. Which of the following actions would best indicate that Kaitlyn has understood the nurse’s teachings?
  1. Delaying eating breakfast until after morning medications are taken
  2. Increasing fluid intake
  3. Taking a warm bath prior to going to school
  4. Continuing to participate in activities of daily living, despite fatigue and persistent pain
Explanation
Answer - C - The warmth of the water will reduce the morning stiffness of the joints and thus, increase mobility. Choice A is incorrect because this action could contribute to the child being at risk for injury due to the irritating nature on the gastrointestinal tract by medications taken to treat juvenile rheumatoid arthritis. While correct in itself, Choice B is incorrect because this action correlates with reducing the risk for injury rather than activity intolerance. Increasing fluid will decrease the risk for the formation of renal calculi brought about by immobility. Choice D is incorrect because this action could contribute to the child being at risk for injury. Activities of daily living should be temporarily discontinued in the presence of fatigue and persistent pain.
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