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 normal apical pulse for a toddler is around 90-140 beats per minute. This toddler's heart rate is within normal range.
B. This toddler's potassium level is within the normal range.
C. This toddler's digoxin level is within the therapeutic range.
D. Vomiting can be a sign of digoxin toxicity. Digoxin has a narrow therapeutic index, meaning that even small increases in the drug level can lead to toxicity.

A. An increase in venous pressure B. A decrease in peripheral edema C. An increase in potassium levels D. A decrease in cardiac output

Correct Answer is B

Explanation

A. Furosemide is a diuretic that helps to reduce fluid volume, which would lead to a decrease in venous pressure, not an increase.
B. Furosemide is primarily used to reduce fluid retention (edema). A decrease in peripheral edema indicates that the medication is working effectively.
C. Furosemide can actually cause hypokalemia (low potassium levels) as a side effect.
D. Furosemide is used to improve cardiac output by reducing the fluid overload that puts a strain on the heart.

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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 caring for a group of toddlers receiving digoxin therapy. For which of the following toddlers should the nurse revise the plan of care?

Correct Answer is D

Explanation

A nurse is assessing a school-age child who has heart failure and is taking furosemide. Which of the following findings should the nurse identify as an indication that the medication is effective?

Correct Answer is B

Explanation

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