A nurse is planning care for a newly admitted child who has autism spectrum disorder. Which of the following interventions should the nurse include in the plan?

Establish a reward system for the child.

Limit parent visits with the child.

Keep the door to the child's room open.

Leave a television on during the night.

Answer and Explanation

The Correct Answer is A

A. Establish a reward system for the child. Positive reinforcement encourages desired behaviors and helps manage challenging behaviors.
B. Limit parent visits with the child. Parental presence is comforting for children with autism and helps maintain their routine.
C. Keep the door to the child's room open. A calm and controlled environment is essential; an open door can increase stimuli.
D. Leave a television on during the night. Excess noise or stimuli, especially during rest periods, can increase anxiety in children with autism.

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Correct Answer is C

Explanation

A. Warm extremities: Typically, in heart failure, extremities can feel cold due to poor circulation and reduced cardiac output.
B. Frequent headaches: Headaches are not a typical sign of heart failure in children. Although they can occur in some cases due to increased intracranial pressure, they are not characteristic of heart failure.
C. Distended neck veins: Distended neck veins are a hallmark sign of right-sided heart failure. It occurs when the heart is unable to efficiently pump blood, leading to congestion and fluid retention, which can cause blood to back up into the veins, resulting in visible distention.
D. Weight loss: Weight gain due to fluid retention is more common in heart failure. Weight loss may occur in more advanced or chronic cases due to decreased appetite and fluid shifts, but weight gain is the expected finding in early stages.

A. "if our baby vomits after the feeding, we should administer another dose." B. "We should expect our baby to urinate less frequently while taking this medicine." C. "We should position our baby flat on their back to administer the medication." D. "We should avoid diluting the medicine in a bottle of formula." E. "We can use a medication syringe to place small amounts of medicine into the side of our baby's mouth."

Correct Answer is ["D","E"]

Explanation

A. If the baby vomits, do not administer another dose without consulting the provider to avoid overdosing.
B. There is no expected reduction in urination with GER medications. If decreased urination occurs, it may indicate dehydration or another issue.
C. The baby should not be positioned flat when administering medication to avoid choking or aspiration.
D. Avoid diluting medication in a formula bottle, as the infant may not finish the bottle, leading to incomplete dosing.
E. Administering medication with a syringe ensures accurate dosing and avoids wasting the medicine.

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A nurse is planning care for a newly admitted child who has autism spectrum disorder. Which of the following interventions should the nurse include in the plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a child who has heart failure. Which of the following clinical manifestations should the nurse expect?

Correct Answer is C

Explanation

The nurse is continuing to care for the infant. Exhibits The nurse has provided teaching to the parents about the prescribed medication. Which of the following statements by the parents indicate an understanding of the teaching? Select all that apply.

Correct Answer is ["D","E"]

Explanation

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