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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This is the first and most critical action to take. If the dressing is saturated with blood, it indicates that there may be active bleeding at the catheter insertion site. Applying direct pressure just above the insertion site helps control bleeding by promoting clot formation and reducing blood flow to the area.
B. Monitoring the pulse distal to the insertion site is important for assessing blood flow and identifying potential complications such as arterial occlusion or hematoma formation. However, it is not the first action to take when there is active bleeding. While this assessment is important, controlling the bleeding takes precedence.
C. Obtaining vital signs is important for assessing the child’s overall condition and identifying signs of potential hemodynamic instability. However, it is not the first step when there is immediate, active bleeding. Addressing the bleeding directly is more urgent to prevent further complications.
D. Reinforcing the dressing might be necessary if the bleeding has been controlled. However, if the dressing is already saturated, simply reinforcing it without addressing the underlying bleeding issue may not be effective and could delay necessary intervention.
Correct Answer is ["C","D","E"]
Explanation
A. BUN is primarily used to assess kidney function. While it can be elevated in some inflammatory conditions, it's not a specific marker for rheumatic fever.
B. PTT measures the time it takes for blood to clot. It's used to evaluate bleeding disorders, not inflammatory conditions like rheumatic fever.
C. CRP is a sensitive marker of inflammation. It is often elevated in rheumatic fever due to the inflammatory response.
D. ASO titer is a specific antibody against group A Streptococcus, the bacteria that often precedes rheumatic fever. Elevated ASO titers support the diagnosis.
E. ESR is another non-specific marker of inflammation. It is often elevated in rheumatic fever.
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