Practice Quiz

CCRN Critical Care Nursing

Category - Pediatrics

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Which of the following interventions would be included in the plan of care for a child with juvenile rheumatoid arthritis to reduce joint pain in the morning just after arising?
  1. Having the child sleep in a sleeping bag
  2. Increasing pain medication at bedtime
  3. Having the child sleep with the joints flexed
  4. Awakening the child once nightly to exercise the joints
Explanation
Answer: A - Sleeping in a sleeping bag keeps the joints warm, therefore more flexible. Thus, joint pain in the morning would be lessened. Increasing bedtime pain medications may help the child sleep but will not decrease early morning stiffness. The child’s joints should be kept in an extended position during sleep to maintain function. Lack of sleep such as from awakening the child at night for exercises is a stressor that can lead to exacerbation of juvenile rheumatoid arthritis.
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