Question

The mother of a child with juvenile idiopathic arthritis calls the nurse because the child is experiencing a painful exacerbation of the disease. The mother asks the nurse if the child should perform range-of-motion (ROM) exercises at this time. The nurse makes which response to the mother?

a) Yes, encourage the child to perform ROM exercises to maintain joint flexibility.
b) No, avoid any movement to prevent further pain and inflammation.
c) Only perform ROM exercises under the supervision of a physical therapist.
d) Wait until the pain subsides before starting any exercise routine.

Answer 1

The nurse should recommend gentle range-of-motion exercises for juvenile idiopathic arthritis during a painful exacerbation to maintain joint flexibility, but should be performed within comfort limits and possibly under a physical therapist's guidance.

Step-by-step explanation:

The nurse should advise that, yes, the child with juvenile idiopathic arthritis should be encouraged to perform range-of-motion (ROM) exercises even during a painful exacerbation, to maintain joint flexibility. However, this should be done with care. While rest is important when the inflammation is active, early mobilization with gentle ROM exercises, once acute inflammation decreases, is essential to prevent stiffness and maintain function. These exercises should be gentle and within the child's comfort limits. In some cases, consultation with a physical therapist can help tailor an exercise regimen that is appropriate for the child's condition and needs.