A 16-year-old client has a long leg cast secondary to a fractured ...

[future617RT]

A 16-year-old client has a long leg cast secondary to a fractured femur. To effectively facilitate the adolescent's return to school,the school nurse should
 
  1. meet with teachers andadministrators at the school to make sure entrances and classrooms are wheelchair accessible.
  2. develop an individualized health plan(IHP) that focuses on long-term needs of the adolescent.
  3. prior to the student's return toschool,meet with all of the other students to emphasize the special needs of the injured teen.
  4. meet with parents of the injuredstudent to encourage homebound schooling until a short leg cast is applied.

Question 2

A nurse should review the immunization record for hepatitis B status as a priority for which of these adolescents? An adolescent who
 
  1. Has chronic acne
  2. Has overuse injuries from playingvarsity sports
  3. Has chronic asthma
  4. Is planning on getting a tattoo

[ngr69]

Answer to Question 1

Answer:1
Rationale: An adolescent with a long leg cast secondary to a fractured femur will be dependent on a wheelchair for mobility.It is essential that the environment be wheelchair accessible prior to the adolescent's return to school. While an IHP might be developed,short-term needs would be the focus.It is not necessary to meet all of the students to discuss the adolescent's needs. There is no reason to encourage the child to stay at home for schooling if he is ready to return.

Answer to Question 2

Answer:4
Rationale: The adolescent who is most at risk in the scenario presented is the teen who is planning on getting a tattoo. Adolescents with chronic acne or asthma do not have an increased risk for hepatitis B,since transmission has nothing to do with a diagnosis of acne.Overuse of muscles while playing sports is not related to development of hepatitis B.