In teaching a 16-year-old adolescent who was recently diagnosed with systemic lupus erythematosus (SLE), what statements should the nurse include? (Select all that apply.)
a. "You should use a moisturizer with a sun protection factor (SPF) of 30."
b. "You should avoid pregnancy because this can cause a flare-up."
c. "You should not receive any immunizations in the future."
d. "You may need to be on a low-protein, high-carbohydrate diet."
e. "You should expect to lose weight while taking steroids."
f. "You may need to modify your daily recreational activities."
ANS: A, B, F
Teaching for an adolescent with SLE should foster adaptation and self-advocacy and include using a moisturizer with an SPF of 30, avoiding pregnancy because it can produce a flare-up, and modifying recreational activities but continuing with daily exercise as an essential part of the treatment plan. The adolescent should continue to receive immunizations as scheduled, should expect to gain weight while on steroid therapy, and would not have a specialized diet.
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