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Maintaining extended eye contact may be challenging for children with autism spectrum disorder, as they may have difficulty with social interaction and communication.

Engaging in cooperative play might be difficult for a child with autism spectrum disorder due to challenges in social interaction and communication.

Rationale:

The child's throat pain is expected post-tonsillectomy and can be managed using analgesics or an ice collar. However, this is not a priority finding compared to frequent swallowing which may indicate bleeding which is a life-threatening complication of tonsillectomy.

Refusing clear liquids may indicate discomfort but is not as urgent as a potential increase in throat pain.

Crying often may be a response to discomfort but does not necessarily indicate a complication requiring immediate intervention.

Administering vaccines prior to discharge may be contraindicated in a child with neutropenia due to the risk of infection from live vaccines.

Bathing the child every other day is a general hygiene practice and does not specifically address the risk of infection associated with neutropenia.

Obtaining the child's rectal temperature once daily is a routine assessment and does not directly address the risk of infection associated with neutropenia.

Checking the newborn's eyes every 8 hours is not necessary for the management of hyperbilirubinemia or phototherapy.

Placing mittens on the newborn's hands is unrelated to the management of hyperbilirubinemia or phototherapy.

Applying lotion to the newborn's skin is not recommended during phototherapy as it can interfere with the effectiveness of the lights.

Visual analog scales rely on the child's ability to comprehend and interpret visual cues, which may be challenging for a cognitively impaired toddler.

FACES scales require the child to identify their pain level based on facial expressions, which may also be challenging for a cognitively impaired toddler.

CRIES scales are primarily used for assessing pain in newborns and infants and may not be as applicable for a cognitively impaired toddler.

Mixing the medication with formula may not be appropriate as the infant has vomited, and re-administering the medication immediately may result in overdosing.

Giving an antiemetic is not indicated unless ordered by the healthcare provider. It is important to follow specific orders in this situation.

Increasing fluid intake may not be advisable immediately after vomiting, especially in the context of heart failure. The infant may require evaluation for fluid status before increasing intake.

Setting the water heater to 60°C (140°F) increases the risk of scalding burns, so it is not a recommended safety measure.

Encouraging outdoor activities between 1100 and 1300 exposes toddlers to excessive sun exposure and heat, which can cause sunburns or heatstroke. The nurse should recommend avoiding outdoor activities during peak sun hours and applying sunscreen and protective clothing when outdoors.

Turning pot handles toward the front of the stove is a dangerous practice that can cause toddlers to reach for them and spill hot liquids or food on themselves. The nurse should instruct parents to turn pot handles toward the back of the stove or use rear burners when possible.

Toddlers thrive on routines and consistency, which provide them with security and predictability.

Toddlers are typically emotionally labile, meaning they can experience rapid changes in mood and emotions.

Toddlers may display increased independence rather than increased dependency as they strive to assert their autonomy.

While assessing pain level is important, ensuring adequate perfusion and circulation takes precedence.

Rechecking the child's temperature may be necessary but is not as immediately critical as assessing pedal pulses.

Determining the child's sedation level is important for monitoring postoperative status but is not the priority at this time.

Placing the child prone (face down) is not appropriate for a lumbar puncture.

Placing the child supine (on their back) is not ideal for a lumbar puncture as it does not provide the necessary access to the lumbar area.

Placing the child in semi-Fowler's position (lying on their back with the head of the bed elevated) is not typically used for lumbar puncture procedures.