A nurse at an inpatient facility is planning care for a child who has autism spectrum disorder.
Which of the following interventions should the nurse include in the plan of care?

Vary daily routines when providing care for the child

Keep the television on in the child's room for background noise

Keep staff visits with the child brief

Place the child in a semiprivate room.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Children with autism spectrum disorder often thrive on routines and predictability. Varying daily routines can be distressing and may lead to increased anxiety.

Choice B rationale

Background noise, such as from a television, can be overstimulating for a child with autism spectrum disorder. It is generally recommended to provide a quiet environment to help the child feel more comfortable and at ease.

Choice C rationale

This is the correct intervention. Children with autism spectrum disorder may have difficulty with social interactions and may become overwhelmed by prolonged or intense interactions. Keeping staff visits brief allows for positive interactions while minimizing potential stress for the child.

Choice D rationale

Placing the child in a semi-private room may expose them to additional stimuli and potential social interactions, which can be overwhelming for a child with an autism spectrum disorder. A private room may provide a quieter and more controlled environment.

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Correct Answer is A

Explanation

Choice A rationale

A preschool-age child being curious about what happened to the sibling’s body is an age-appropriate response to death. At this age, children often view death as temporary or reversible, and they may be curious about the physical realities of death.

Choice B rationale

A preschool-age child feeling responsible for the sibling’s death is not an age-appropriate response to death. While children at this age may sometimes believe their thoughts or actions can influence events, it’s not typical for them to feel personally responsible for a death.

Choice C rationale

A preschool-age child being able to give a logical explanation for the sibling’s death is not an age-appropriate response to death. Preschoolers typically have a limited understanding of the causes and permanence of death.

Choice D rationale

A preschool-age child viewing the sibling’s death as permanent is not an age-appropriate response to death. Most children in this age group do not understand that death is permanent.

A. Hypertension B. Hyporeflexia C. hyperactive bowel sounds D. Oliguria .

Correct Answer is B

Explanation

A potassium level of 3.2 mEq/L is considered low, and one of the symptoms of low potassium (hypokalemia) is hyporeflexia.

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A nurse at an inpatient facility is planning care for a child who has autism spectrum disorder.Which of the following interventions should the nurse include in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a family practice clinic is assessing a preschool-age child who recently experienced the death of a sibling. Which of the following reactions is an age-appropriate response to death?

Correct Answer is A

Explanation

A nurse is reviewing the laboratory results of a preschooler who has gastroenteritis and notes the client’s potassium level is 3.2 meq L which of the following assessment findings should the nurse expect?

Correct Answer is B

Explanation

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A nurse at an inpatient facility is planning care for a child who has autism spectrum disorder.
Which of the following interventions should the nurse include in the plan of care?