Author Question: What needs to be included as essential teaching for adolescents with systemic lupus erythematosus ... (Read 41 times)

audie · **on:** Jun 28, 2018

What needs to be included as essential teaching for adolescents with systemic lupus erythematosus (SLE)?

a. High calorie diet because of increased metabolic needs
b. Home schooling to decrease the risk of infections
c. Protection from sun and fluorescent lights to minimize rash
d. Intensive exercise regimen to build up muscle strength and endurance

Question 2

A child with juvenile idiopathic arthritis (JIA) is started on a nonsteroidal antiinflammatory drug (NSAID). What nursing consideration should be included?

a. Monitor heart rate.
b. Administer NSAIDs between meals.
c. Check for abdominal pain and bloody stools.
d. Expect inflammation to be gone in 3 or 4 days.

parker125 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: C
The photosensitive rash is a major concern for individuals with SLE. Adolescents who spend time outdoors need to use sunscreens with a high SPF, hats, and clothing. Uncovered fluorescent lights can also cause a photosensitivity reaction. The diet should be sufficient in calories and nutrients for growth and development. The use of steroids can cause increased hunger, resulting in weight gain. This can present additional emotional issues for the adolescent. Normal functions should be maximized. The individual with SLE is encouraged to attend school and participate in peer activities. A balance of rest and exercise is important; excessive exercise is avoided.

Answer to Question 2

ANS: C
NSAIDs are the first-line drugs used in JIA. Potential side effects include gastrointestinal (GI), renal, and hepatic side effects. The child is at risk for GI bleeding and elevated blood pressure. The heart rate is not affected by this drug class. NSAIDs should be given with meals to minimize gastrointestinal problems. The antiinflammatory response usually takes 3 weeks before effectiveness can be evaluated.