A nurse is planning care for a 4-year-old child who requires airborne precautions. Which of the following activities should the nurse plan for the child?

Choice A: Allowing for imaginative play with peers without supervision is not an appropriate intervention for a child who has autism spectrum disorder, as it can cause frustration, anxiety, or isolation for the child. A child who has autism spectrum disorder may have difficulty with social skills, communication, and imagination, which can affect their ability to interact and play with others. The nurse should provide structured and supervised play activities that promote socialization and cooperation.

Choice B: Providing a completely unpredictable schedule that adjusts to the child's interests is not an appropriate intervention for a child who has autism spectrum disorder, as it can cause confusion, stress, or tantrums for the child. A child who has autism spectrum disorder may have difficulty with transitions, changes, and flexibility, which can affect their ability to cope and adapt to different situations. The nurse should provide a consistent and predictable schedule that follows a routine and gives clear expectations.

Choice C: Allowing for adjustment of rules to correlate with the child's behavior is not an appropriate intervention for a child who has autism spectrum disorder, as it can cause inconsistency, insecurity, or manipulation for the child. A child who has autism spectrum disorder may have difficulty understanding and following rules, which can affect their ability to behave and function appropriately. The nurse should provide firm and fair rules that are enforced consistently and respectfully.

Choice D: Establishing a reward system for positive behavior with prizes is an appropriate intervention for a child who has autism spectrum disorder, as it can provide motivation, reinforcement, and feedback for the child. A child who has autism spectrum disorder may have difficulty with learning and performing new skills, which can affect their ability to achieve and succeed. The nurse should provide a reward system that recognizes and rewards positive behavior with tangible or intangible prizes.

Choice A: A WBC count of 17,000/mm³ is an abnormal result that the nurse should anticipate when reviewing this client's laboratory values, as it indicates leukocytosis, which is an increase in white blood cells. Leukocytosis can occur in a child who has cystic fibrosis (CF), which is a condition that causes thick mucus to block the airways and lungs and causes respiratory infections and inflammation. A normal WBC count for children is 5,000 to 10,000/mm³.

Choice B: A neutrophil count of 3,000/mm³ is not an abnormal result that the nurse should anticipate when reviewing this client's laboratory values, as it indicates normal neutrophil levels. Neutrophils are a type of white blood cell that fight bacterial infections. A normal neutrophil count for children is 1,500 to 8,000/mm³.

Choice C: A lymphocyte count of 3,000/mm³ is not an abnormal result that the nurse should anticipate when reviewing this client's laboratory values, as it indicates normal lymphocyte levels. Lymphocytes are a type of white blood cell that fight viral infections. A normal lymphocyte count for children is 1,500 to 4,000/mm³.

Choice D: An RBC count of 4.2 million/mm³ is not an abnormal result that the nurse should anticipate when reviewing this client's laboratory values, as it indicates normal red blood cell levels. Red blood cells carry oxygen and carbon dioxide throughout the body. A normal RBC count for children is 4 to 5.5 million/mm³.