A 16-year-old client has a long leg cast secondary to a fractured tibia. The child will require a wheelchair for mobility. To effectively facilitate the adolescent's return to school, the school nurse should:

1. Meet with all of the other students prior to the student's return to school to emphasize the special needs of the injured teen.
2. Meet with teachers and administrators at the school to discuss modifications in the student's school routine.
3. Develop an individualized health plan (IHP) focusing on long-term needs of the adolescent.
4. Meet with parents of the injured student to encourage homebound schooling until a short leg cast is applied.


2
Rationale 1: It is not necessary to meet all of the students to discuss the adolescent's needs.
Rationale 2: Plans must be made to modify the school routine for the student. The adolescent will be unable to participate in some classes, such as physical education and some vocational classes.
Rationale 3: While an IHP might be developed, short-term needs would be the focus.
Rationale 4: There is no reason to encourage the child to stay at home for school if he is ready to return.
Global Rationale:

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