Author Question: The nurse is providing care for several pediatric clients. Which client would require an ... (Read 93 times)

strangeaffliction · **on:** Jun 28, 2018

The nurse is providing care for several pediatric clients. Which client would require an Individualized Health Plan (IHP) prior to returning to school?

1. A school-age client who has recently developed a penicillin allergy.
2. An adolescent client newly diagnosed with insulin-dependent diabetes mellitus.
3. A school-age client who has been treated for head lice.
4. An adolescent client who has missed two weeks of school due to mononucleosis.

Question 2

An adolescent client has a long leg cast secondary to a fractured femur. Which action by the nurse would effectively facilitate the adolescent's return to school?

1. Meet with teachers and administrators at the school to make sure entrances and classrooms are wheelchair accessible.
2. Develop an individualized health plan (IHP) that focuses on long-term needs of the adolescent.
3. Prior to the student's return to school, meet with all of the other students to emphasize the special needs of the injured teen.
4. Meet with parents of the injured student to encourage homebound schooling until a short leg cast is applied.

johnpizzaz · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

Correct Answer: 2
Rationale: An IHP that ensures appropriate management of the child's healthcare needs must be developed for a child newly diagnosed with a chronic illness such as diabetes. A child who is allergic to penicillin will not receive this medication any longer and therefore should not encounter any problems related to it at school. A child who has been treated for head lice can return to school and does not need an IHP. While a child who has missed two weeks of school will need to make arrangements for makeup work, an IHP is not needed.

Answer to Question 2

Correct Answer: 1
Rationale: An adolescent with a long leg cast secondary to a fractured femur will be dependent on a wheelchair for mobility. It is essential that the environment be wheelchair accessible prior to the adolescent's return to school. While an IHP might be developed, short-term needs would be the focus. It is not necessary to meet all of the students to discuss the adolescent's needs. There is no reason to encourage the adolescent to stay at home for schooling if he is ready to return.