Author Question: In teaching a 16-year-old adolescent who was recently diagnosed with systemic lupus erythematosus ... (Read 71 times)

fahad · **on:** Jun 28, 2018

In teaching a 16-year-old adolescent who was recently diagnosed with systemic lupus erythematosus (SLE), what statements should the nurse include? (Select all that apply.)

a. You should use a moisturizer with a sun protection factor (SPF) of 30.
b. You should avoid pregnancy because this can cause a flare-up.
c. You should not receive any immunizations in the future.
d. You may need to be on a low-protein, high-carbohydrate diet.
e. You should expect to lose weight while taking steroids.
f. You may need to modify your daily recreational activities.

Question 2

The nurse is teaching infant care to parents with an infant who has been diagnosed with osteogenesis imperfecta (OI). What should the nurse include in the teaching session?

a. Bisphosphonate therapy is not beneficial for OI.
b. Physical therapy should be avoided as it may cause damage to bones.
c. Lift the infant by the buttocks, not the ankles, when changing diapers.
d. The infant should meet expected gross motor development without assistive devices.

lcapri7 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: A, B, F
Teaching for an adolescent with SLE should foster adaptation and self-advocacy and include using a moisturizer with an SPF of 30, avoiding pregnancy because it can produce a flare-up, and modifying recreational activities but continuing with daily exercise as an essential part of the treatment plan. The adolescent should continue to receive immunizations as scheduled, should expect to gain weight while on steroid therapy, and would not have a specialized diet.

Answer to Question 2

ANS: C
Infants and children with this disorder require careful handling to prevent fractures. They must be supported when they are being turned, positioned, moved, and held. Even changing a diaper may cause a fracture in severely affected infants. These children should never be held by the ankles when being diapered but should be gently lifted by the buttocks or supported with pillows. Bisphosphonate and physical therapy are beneficial for OI. Lightweight braces will be used when the child starts to ambulate.