An adolescent has systemic lupus erythematosus (SLE). The nurse ...

[cdr_15]

An adolescent has systemic lupus erythematosus (SLE). The nurse knows that the treatment plan implemented by the health care team is appropriate for this client when the client:
 
  1. Refuses to attend school.
   2. Does not want to attend any social functions.
   3. Discusses the body changes with a peer.
   4. Discusses the body changes with health care personnel.

Question 2

While conducting a health history with a client, which of the following findings could provide a possible cause for the client's recent experience with erectile dysfunction?
 
  1. Plays golf twice a week
   2. Treatment for type 2 diabetes mellitus for 7 years
   3. Body mass index (BMI) 24.5
   4. Blood pressure 118/68 mmHg

[heinisk01]

Answer to Question 1

3. Discusses the body changes with a peer.

Rationale:
Peer interaction is important to teens. Being able to discuss the physical changes related to SLE with a peer indicates acceptance of the change in body image. Refusing to go to school or attend social functions indicates nonacceptance of the changes to body image. Discussing changes only with health care personnel does not indicate the teen has adjusted to the body image changes.

Answer to Question 2

2. Treatment for type 2 diabetes mellitus for 7 years

Rationale:
The risk factors for erectile dysfunction are numerous. They include advancing age, diseases such as heart disease and diabetes, trauma, and the use of prescription or illicit drugs. Excessive use of alcohol can also result in erectile dysfunction. Recreational sports, a body mass index within normal limits, and a normal blood pressure would not provide a possible cause for the client's recent experience with the disorder.