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?

Establish a reward system.

Hold the child during assessments.

Maintain extended eye contact.

Engage in cooperative play.

Answer and Explanation

The Correct Answer is A

A.   Many children with autism respond well to structured reward systems. This can help motivate desired behaviors and reduce challenging ones.
B.   Children with autism often have sensory sensitivities. Holding them during assessments might cause anxiety or distress. It's important to respect their personal space and allow them to feel comfortable.
C.   Many children with autism find eye contact overwhelming. Focusing on other communication cues and respecting their comfort level is more appropriate.
D.   Cooperative play can be challenging for children with autism, who often prefer solitary or parallel play. It's important to respect their play preferences and provide opportunities for enjoyable activities.

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Correct Answer is D

Explanation

A. A child might feel more anxious without a parent present. The parent's presence can provide comfort and support.
B. Overly detailed explanations might increase anxiety. Providing simple, age-appropriate information just before the procedure is more effective.

C. The playroom is associated with fun activities. Performing a medical procedure in this environment can create negative associations.
D. Applying a topical anesthetic cream before the procedure can significantly reduce pain and discomfort during venipuncture, providing atraumatic care.

A. Examine the child for skin irritation at the cast edges. B. Use a hair dryer on cool setting to relieve itching. C. Restrict the child's strenuous activities for 3 days. D. Monitor for pallor or swelling in the child's affected hand.

Correct Answer is D

Explanation

A. While it is important to check for skin irritation at the cast edges, this is not the most immediate concern compared to other potential complications. Skin irritation can occur, but it is a less urgent issue compared to signs of more serious problems like impaired circulation or swelling.
B. Itching is a common issue with casts, and using a hair dryer on a cool setting can help relieve this discomfort. However, this is a comfort measure and does not address the more critical aspects of cast care and potential complications.
C. Restricting strenuous activities is important to prevent complications and ensure proper healing, but it is not the most immediate concern following cast application. The timeframe may also need to be

longer than just 3 days, depending on the type of surgery and cast. Specific activity restrictions should be based on the child's condition and the surgeon's recommendations.
D. Monitoring for pallor and swelling is critical because these signs can indicate compromised circulation or other serious complications related to the cast. Swelling and changes in skin color can suggest that the cast is too tight or that there is a problem with blood flow. Immediate attention is needed if these symptoms are observed to prevent further complications.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to perform a venipuncture on a 4-year-old child. Which of the following actions should the nurse take to ensure atraumatic care?

Correct Answer is D

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Correct Answer is D

Explanation

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