A teenage girl has recently been diagnosed with systemic lupus erythematosus (SLE). In teaching the girl about her disease, the nurse explains that the teenager needs to avoid which typical teenage activity?

1. Receiving a manicure and a pedicure
2. Daily hair shampoos
3. Using a tanning bed
4. Attending late night parties and dances


3
Rationale 1: Manicures and pedicures do not place the child at any risk.
Rationale 2: Although one symptom of SLE can be alopecia, gentle shampooing is not a cause of this symptom.
Rationale 3: Individuals with SLE have photosensitivity, and tanning beds can lead to exacerbations as well as skin damage from sun burns.
Rationale 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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Nursing

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