Which nonpharmacologic measures should the nurse use to reduce the child's pain? A child with rheumatic fever complains of painful joints.
A. Perform gentle passive range-of-motion exercises. B. Gently massage the painful joints. C. Use a bed cradle to keep linens from pressing on the child s joints. D. Encourage the child to change position in bed every 2 hours.
1. use a bed cradle to keep linens from pressing on the child s joints.-rationale: in rheumatic fever, the joints may be so sensitive that even the weight of the bed linens can cause pain. a bed cradle reduces pain by lifting the linens off the child. moving the affected joint may increase pain; therefore, passive range-of-motion exercises arent recommended. massaging the joints isnt likely to relieve pain. the nurse should encourage the child to change positions at least every 2 hours to reduce the risk of skin breakdown, but this is unlikely to relieve joint pain.
client needs category: physiological integrity
client needs subcategory: basic care and comfort
cognitive level: application
reference: hatfield, n. broadribbs introductory pediatric nursing, 6th ed. philadelphia: lippincott williams & wilkins, 2004, p. 383.