A nurse is developing a plan of care for a toddler who has autism spectrum disorder.

Which of the following interventions should the nurse include?

Introduce the toddler to new situations slowly.

Administer valproic acid to the toddler.

Allow the toddler to choose the daily routine.

Increase stimulation in the toddler's environment.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Children with autism spectrum disorder often have difficulty with transitions and new situations. Introducing new situations slowly can help reduce anxiety and support a smoother adjustment.

Choice B rationale:

Administering valproic acid is not a nursing intervention for autism spectrum disorder.

Choice C rationale:

Allowing the toddler to choose the daily routine might not be effective as they may struggle with decision-making and may prefer structured routines.

Choice D rationale:

Increasing stimulation in the toddler's environment might overwhelm a child with autism, who often prefers a calm and predictable environment.

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Correct Answer is D

Explanation

Choice A rationale:

A blood pressure of 78/60 mm Hg is indicative of hypotension which is a common complication of anorexia nervosa. However. the low body temperature takes precedence

Choice B rationale:

Weight loss of 20% over the last 6 months is concerning but may not be an immediate indicator for acute care admission.

Choice C rationale:

An apical pulse rate of 50/min is bradycardia, which can be a result of anorexia nervosa, but it may not be an immediate indicator for acute care admission unless the client is symptomatic.

Choice D rationale:

A body temperature of 35.5°C (95.9°F) is below a normal range signfyng hypothermia which needs immedate intervention.

A. "Take this medication twice per day." B. "Constipation is a common adverse effect of this medication." C. "Change positions slowly after taking this medication." D. "You should expect temporary visual changes while taking this medication."

Correct Answer is D

Explanation

Choice A rationale:

Sildenafil is typically taken as needed, not twice per day.

Choice B rationale:

Constipation is not a common adverse effect of sildenafil.

Choice C rationale:

Changing positions slowly after taking the medication is not related to sildenafil's mechanism of action.

Choice D rationale:

Sildenafil is a medication used to treat erectile dysfunction. Temporary visual changes, often described as a blue-green tinge or increased light sensitivity, are potential side effects of sildenafil due to its effect on the retinal enzyme.

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A nurse is developing a plan of care for a toddler who has autism spectrum disorder. Which of the following interventions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an urgent care facility is assessing a client who is currently receiving outpatient treatment for anorexia nervosa. Which of the following client data should indicate to the nurse that the client requires acute care admission?

Correct Answer is D

Explanation

A nurse is teaching a male client who has erectile dysfunction and a new prescription for sildenafil. Which of the following information should the nurse include in the teaching?

Correct Answer is D

Explanation

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A nurse is developing a plan of care for a toddler who has autism spectrum disorder.

Which of the following interventions should the nurse include?