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?
Keep staff visits with the child brief.
Vary daily routines when providing care for the child.
Place the child in a semiprivate room.
Keep the television on in the child's room for background noise.
The Correct Answer is A
A. 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.
B. Children with autism spectrum disorder often thrive on routines and predictability.
Varying daily routines can be distressing and may lead to increased anxiety.
C. 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.
D. 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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "Your child's feet should be 3 to 6 inches off the ground when seated on the bicycle." This instruction is not related to safety. Proper seat height is important for comfort and efficiency but does not directly impact safety.
B. This is the correct instruction. Maintaining a distance of at least 3 feet from the curb while riding in the street allows space for maneuvering and helps prevent collisions with obstacles or parked cars.
C. "Your child should walk the bicycle through intersections." This is a good safety practice. Walking the bicycle through intersections reduces the risk of accidents with other vehicles.
D. "Your child should ride the bicycle against the flow of traffic." This is incorrect.
Children should ride their bicycles in the same direction as traffic. Riding against traffic increases the risk of accidents.
Correct Answer is C
Explanation
A. Assisting the child into a supine position is contraindicated in acute epiglottitis. This can lead to airway obstruction. The child should be allowed to assume a position of comfort, which is typically sitting up and leaning forward.
B. While obtaining a throat culture may be indicated for diagnostic purposes, it is not the first priority in the care of a child with acute epiglottitis. The immediate concern is ensuring airway patency and providing appropriate respiratory support.
C. This is the correct action. Acute epiglottitis is a potentially life-threatening condition that can rapidly lead to airway obstruction. Initiating droplet isolation precautions helps protect healthcare providers and other patients from potential transmission of the causative organism (often Haemophilus influenzae type B).
D. Checking oxygen saturation every 4 hours is important for monitoring respiratory status, but in the case of acute epiglottitis, continuous monitoring of oxygen saturation is often necessary due to the risk of sudden airway obstruction. This action does not address the immediate priority of ensuring a patent airway.
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