A nurse is caring for a 12-year-old girl with a severe peanut allergy. The girl's parents are upset because the school does not permit her to carry her EpiPen® with her; it must remain in the school's office as per school regulations
How should the nurse respond? A) "She is allowed by law to carry her EpiPen® with her; I will talk to school authorities."
B) "Let's file an action plan and keep it in the school office in the event of anaphylaxis."
C) "Make sure she wears a medical alert bracelet so that school staff know she has allergies."
D) "I will be happy to train school authorities and staff to recognize anaphylaxis."
A
Response:
Public Law No. 108-377, Asthmatic Schoolchildren's Treatment and Health Management Act of 2004, was passed by the U.S. Congress. This law is intended to ensure that students with severe allergies can carry prescribed medications such as an EpiPen® with them at all times. The nurse must contact the school and inform them of this law so that the girl will be allowed to carry her EpiPen® at all times. The school staff should be trained to recognize anaphylaxis, there should be an action plan on file, and the girl should wear a medical alert bracelet as well. However, the most important action is to notify school authorities of the law.
You might also like to view...
Nurses working surrounded by computers and mobile IT must develop skills in the use of all available technology. At the same time, it is important to recognize that:
a. the technology in use today will be the same tomorrow. b. cell phones are not usually allowed in the acute care setting. c. most forms of mobile technology are in violation of HIPAA guidelines. d. the technology supports bedside and remote charting.
A school-aged girl with Crohn's disease will receive total parenteral nutrition (TPN) for the next 6 weeks. Which of the following would best help her accept this?
A) Help her ambulate with the bottles. B) Provide some time to talk to her several times a day. C) Help her give the bottles nicknames and personalities. D) Explain that TPN substitutes for normal food.
A 44-year-old woman who is diagnosed with paranoid personality disorder is seen in the clinic for treatment. Select the intervention by the nurse that best achieves the goal of promoting con-sensual validation of reality
a. Challenge her delusional perceptions by joking in a nonthreatening way about how unrealistic they are. b. Use reality reinforcement and avoid ar-guing with the client about her percep-tions. c. Use distraction when the client begins to expound about her perceptions. d. Administer a prescribed PRN antianxiety medication 1 hour before attempting to council with the client.
An employee who works in the dietary department of the hospital develops HIV. The employee does not have a record of excessive absences or errors. What law protects the employee from being fired?
1. Americans with Disabilities Act (ADA) 2. Wagner Act of 1935 3. Civil Rights Act of 1964 4. Affirmative Action