A nurse is developing a plan of care for a toddler who has autism spectrum disorder.

Which of the following interventions should the nurse include?

Introduce the toddler to new situations slowly.

Administer valproic acid to the toddler.

Allow the toddler to choose the daily routine.

Increase stimulation in the toddler's environment.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Children with autism spectrum disorder often have difficulty with transitions and new situations. Introducing new situations slowly can help reduce anxiety and support a smoother adjustment.

Choice B rationale:

Administering valproic acid is not a nursing intervention for autism spectrum disorder.

Choice C rationale:

Allowing the toddler to choose the daily routine might not be effective as they may struggle with decision-making and may prefer structured routines.

Choice D rationale:

Increasing stimulation in the toddler's environment might overwhelm a child with autism, who often prefers a calm and predictable environment.

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Correct Answer is B

Explanation

Choice A rationale:

Phenytoin should be administered slowly to avoid adverse effects. Infusing 800 mg over 5 minutes is too rapid and can lead to cardiovascular complications.

Choice B rationale:

Rationale: After administering phenytoin via IV, it's important to flush the IV line with normal saline (0.9% sodium chloride) to ensure the medication is fully delivered to the client and to prevent any residual medication from precipitating in the IV line.

Choice C rationale:

Flushing with heparin is not standard practice for administering phenytoin.

Choice D rationale:

Phenytoin should be administered in normal saline, not in D5W (dextrose 5% in water), to avoid precipitation.

A. "Schedule appointments early in the morning." B. "Look down at your feet when walking." C. "Thicken liquids to promote swallowing." D. "Take a laxative if you experience constipation."

Correct Answer is C

Explanation

Choice A rationale:

Scheduling appointments earlier in the day accommodates the client's potential "on" periods when Parkinson's symptoms are better controlled.

Choice B rationale:

Looking down at the feet while walking is a technique that can help improve gait and stability, as Parkinson's disease often affects balance.

Choice C rationale:

Thicker liquids are less likely to cause aspiration in individuals with Parkinson's disease, as they can have difficulty coordinating the muscles needed for swallowing.

Choice D rationale:

Constipation is a common issue in Parkinson's disease due to decreased gastrointestinal motility. However, focusing on dietary fiber and fluid intake is preferred before considering laxatives.

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A nurse is developing a plan of care for a toddler who has autism spectrum disorder. Which of the following interventions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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A nurse is developing a plan of care for a toddler who has autism spectrum disorder.

Which of the following interventions should the nurse include?