A young client with SLE is upset because of a vacation that is ...

[kshipps]

A young client with SLE is upset because of a vacation that is scheduled that she will miss. The nurse tells the client that she should be able to go and plans to teach the client to:
 
  1. avoid the sun from 10 a.m. to 3 p.m.
  2. avoid swimming.
  3. monitor kidney function while on vacation.
  4. take a daily pulse and record the results.

Question 2

A client with osteoporosis is resisting the use of a walker. What should the nurse help the client realize?
 
  1. Using a walker is not that bad
  2. Using a walker would promote independence for the client
  3. Applying heat will make using the walker easier
  4. Written instructions will help the client

[CourtneyCNorton]

Answer to Question 1

Answer: 1

1. Sun exposure can increase damage to sensitive skin and result in serious infection.
2. Swimming is allowed, but the client should be instructed to keep the skin dry after swimming.
3. Kidney function is not an issue; skin lesions and infection are the priorities.
4. The client with SLE does not need to monitor the pulse.

Answer to Question 2

Answer: 2

1. Clients who resist the walker should not be told it is not that bad, because they see this use as a sign of further decline.
2. The nurse should present the walker or other assistive device in a positive light. The client should be informed that the walker will promote independence and allow him to perform activities that include weight bearing.
3. Applying heat has nothing to do with a walker.
4. Written instructions will not convince the client to use the walker.

[kshipps]

Thanks for the timely response, appreciate it

[Joy Chen]

Excellent