A school-age client diagnosed with autism is admitted to the hospital because of recent vomiting and diarrhea. Which intervention by the nurse is most appropriate upon admission?
Take the child on a tour of the whole unit to familiarize with the surroundings.
Admit the child to a four-bed room to allow interaction with peers.
Orient the child to the hospital room.
Take the child to the playroom immediately to participate in the arts and crafts activity.
The Correct Answer is C
Choice A reason: Taking the child on a tour might be overwhelming and increase anxiety due to the new environment and sensory overload.
Choice B reason: Placing the child in a four-bed room could lead to overstimulation and discomfort due to the presence of multiple unfamiliar people.
Choice C reason: Orienting the child to the hospital room provides a safe and controlled environment, allowing for gradual adjustment to the new setting.
Choice D reason: Immediately taking the child to the playroom for arts and crafts might be too stimulating and could exacerbate stress rather than ease the transition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: While headaches can be a symptom of high blood sugar, they are not as specific as other symptoms for diabetes.
Choice B reason: Asking about candy and sweets consumption is less relevant as type 1 DM is not caused by diet.
Choice C reason: Exercise is important for overall health but is not a diagnostic indicator of type 1 DM.
Choice D reason: This is the correct choice. Nocturia and bedwetting are common symptoms of type 1 DM due to excess urination caused by high blood sugar levels.
Correct Answer is D
Explanation
Choice A reason:By around 12 months, infants typically triple their birth weight, but that milestone isn't expected at 6 months. Therefore, telling the mother three times birth weight at this age would be inaccurate and misleading.
Choice B reason: While it's true that each child grows at their own pace, there are general milestones for weight gain that can guide expectations.
Choice C reason: This choice is incorrect. A 10 lb increase is not a standard milestone for weight gain at 6 months.
Choice D reason: Evidence-based pediatric growth milestones state that by 6 months, an infant’s weight typically doubles from birth weight. This aligns with widely accepted developmental guidelines and is the most accurate and reassuring response to the mother’s question.
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