A nurse is planning care for a preschooler who has autism spectrum disorder.Which of the following interventions should the nurse include in the plan?
Maintain extended eye contact.
Establish a reward system.
Engage in cooperative play.
Hold the child during assessments.
The Correct Answer is B
A. Maintaining extended eye contact may be uncomfortable or overwhelming for a child with autism spectrum disorder (ASD) and may not be an appropriate intervention.
B. Establishing a reward system can help reinforce positive behaviors and encourage desired outcomes in children with ASD.
C. Engaging in cooperative play may be challenging for a child with ASD due to difficulties with social interaction and communication.
D. Holding the child during assessments may cause distress or discomfort for a child with ASD and may not be necessary for the assessment process.
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Related Questions
Correct Answer is C
Explanation
A. Allowing the infant to self-soothe by crying prior to feeding is not appropriate, as it may lead to increased stress and fatigue, which can worsen heart failure symptoms.
B. Placing the infant in an upright position during feeding helps to reduce the risk of aspiration and promotes effective swallowing.
C. Infants with heart failure have a weakened heart that struggles to pump blood efficiently. Feeding can be tiring for them, and they might not be able to consume large volumes at once. A smaller, more frequent feeding schedule allows them to take in enough calories without overexertion. This approach helps manage their energy expenditure and reduces stress on the heart.
D. While some infants might take longer to feed, heart failure can make feeding tiring. Offering smaller, more frequent feedings can help the infant consume enough calories without expending too much energy.
Correct Answer is B
Explanation
A. Encouraging flexion and extension of the neck is contraindicated in a client with a halo vest to prevent further injury to the cervical spine.
B. Repositioning the client using a turning sheet helps to maintain proper alignment and prevent complications such as pressure ulcers.
C. Assessing the pin sites for infection should be done daily, not once every other day, to monitor for signs of infection.
D. Tightening the screws on the halo device should be done as prescribed by the healthcare provider and typically does not occur every 48 hours.
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