An adolescent female client is diagnosed with systemic lupus erythematosus (SLE). Which should the nurse include in the teaching session regarding an activity that should be avoided?
1. Receiving a manicure and a pedicure
2. Washing the hair with shampoo daily
3. Using a tanning bed
4. Attending late night parties and dances
3
Explanation:
1. Manicures and pedicures do not place the teenager at any risk.
2. Although one symptom of SLE can be alopecia, gentle shampooing is not a cause of this symptom.
3. Individuals with SLE have photosensitivity, and tanning beds can lead to exacerbations as well as skin damage from sun burns.
4. Although adequate rest is important for the teenager with SLE, the teenager can "catch up" on her sleep the next day.
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