A nurse is planning care for a child who has mumps. Which of the following instructions should the nurse include in the plan?

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: Placing the child on a no-salt-added diet is an important intervention for acute glomerulonephritis, as salt can increase fluid retention and blood pressure. However, this is not the priority action, as it does not address the immediate problem of fluid overload.

Choice B: Maintaining a saline lock is a useful measure for acute glomerulonephritis, as it allows for easy access to administer fluids or medications if needed. However, this is not the priority action, as it does not monitor the fluid status of the child.

Choice C: Educating the parents about potential complications is an essential part of nursing care for acute glomerulonephritis, as it can help them recognize signs of worsening conditions and seek timely medical attention. However, this is not the priority action, as it does not assess the current condition of the child.

Choice D: Checking the child's daily weight is the priority action for acute glomerulonephritis, as it is the most accurate indicator of fluid balance and kidney function. A sudden increase in weight can indicate fluid retention and edema, which can lead to heart failure or pulmonary edema. A decrease in weight can indicate dehydration or diuresis, which can lead to hypovolemia or electrolyte imbalance.