The nurse is providing home care instructions for a 13-year-old ...

[james]

The nurse is providing home care instructions for a 13-year-old girl recently diagnosed with systemic lupus erythematosus. Which response by the girl indicates a need for further teaching?
 
  A) I need to wear sunscreen in the summer to prevent rashes..
  B) I need to eat a healthy diet, exercise, and get plenty of sleep..
  C) I need an eye examination every year..
  D) I need to be careful when it is cold; I should always wear gloves..

Question 2

A nurse is caring for a 12-year-old girl with a severe peanut allergy. The girl's parents are upset because the school does not permit her to carry her EpiPen with her. It must remain in the school's office per school regulations.
 
  Which response by the nurse would be most appropriate? A) She is allowed by law to carry her EpiPen with her; I will talk to school authorities..
  B) Let's file an action plan and keep it in the school office in the event of anaphylaxis..
  C) Make sure she wears a medical alert bracelet so that school staff know she has allergies..
  D) I will be happy to train school authorities and staff to recognize anaphylaxis..

[fur]

Answer to Question 1

A
Feedback:
The nurse needs to emphasize that the girl should apply sunscreen every day, not just in the summer, to prevent rashes resulting from photosensitivity. A healthy diet, sleep, yearly eye examinations, and protection from cold weather are appropriate measures.

Answer to Question 2

A
Feedback:
Public Law No 108-377, the Asthmatic Schoolchildren's Treatment and Health Management Act of 2004, was passed by the U.S. Congress. This law is intended to ensure that students with severe allergies can carry prescribed medications such as an EpiPen with them at all times. The nurse must contact the school and inform them of this law so that the girl is allowed to carry her EpiPen on her person at all times. The school staff should be trained to recognize anaphylaxis, there should be an action plan on file, and the girl should wear a medical alert bracelet as well. However, the most important action is to notify school authorities of the law.