The nurse is providing care for several pediatric clients. Which client would require an Individualized Health Plan (IHP) prior to returning to school?
1. A school-age client who has recently developed a penicillin allergy.
2. An adolescent client newly diagnosed with insulin-dependent diabetes mellitus.
3. A school-age client who has been treated for head lice.
4. An adolescent client who has missed two weeks of school due to mononucleosis.
Correct Answer: 2
Rationale: An IHP that ensures appropriate management of the child's healthcare needs must be developed for a child newly diagnosed with a chronic illness such as diabetes. A child who is allergic to penicillin will not receive this medication any longer and therefore should not encounter any problems related to it at school. A child who has been treated for head lice can return to school and does not need an IHP. While a child who has missed two weeks of school will need to make arrangements for makeup work, an IHP is not needed.
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