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?

Maintain extended eye contact.

Establish a reward system.

Engage in cooperative play.

Hold the child during assessments.

Answer and Explanation

The Correct Answer is B

A.   Maintaining extended eye contact may be uncomfortable or overwhelming for a child with autism spectrum disorder (ASD) and may not be an appropriate intervention.
B.   Establishing a reward system can help reinforce positive behaviors and encourage desired outcomes in children with ASD.
C.   Engaging in cooperative play may be challenging for a child with ASD due to difficulties with social interaction and communication.
D.   Holding the child during assessments may cause distress or discomfort for a child with ASD and may not be necessary for the assessment process.

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Correct Answer is A

Explanation

A. Infusing each unit of blood within 4 hours is a standard practice to minimize the risk of bacterial contamination and ensure the effectiveness of the transfusion. This intervention helps maintain the integrity and safety of the blood product.
B. Infusing dextrose 5% in water during the infusion of packed RBCs is unnecessary and not recommended as it can lead to hemolysis of the blood cells and potential adverse reactions.
C. Storing the second unit of blood at room temperature for up to 2 hours is incorrect practice. Blood products should be stored according to specific guidelines to maintain their integrity and safety.
D. Administering RBCs using non-filtered IV tubing is inappropriate as it can lead to the infusion of clots or debris, which can be harmful to the patient. The use of filtered IV tubing is recommended to ensure the safety of the transfusion.

A. "Your child should ride the bicycle against the flow of traffic." B. "Your child should keep the bicycle at least 3 feet from the curb while riding in the street." C. "Your child should walk the bicycle through intersections." D. "Your child's feet should be 3 to 6 inches off the ground when seated on the bicycle."

Correct Answer is C

Explanation

A. Riding the bicycle against the flow of traffic increases the risk of collisions with oncoming vehicles. Children should ride with the flow of traffic to be more predictable and visible to drivers.
B. Keeping the bicycle at least 3 feet from the curb while riding in the street is a good safety practice to prevent collisions with parked cars or opening car doors.
C. Walking the bicycle through intersections allows the child to safely navigate intersections as pedestrians, reducing the risk of accidents with vehicles.
D. The height of the child's feet when seated on the bicycle is not directly related to safety at intersections. However, it is important for the child to be able to touch the ground with their feet while seated to maintain balance and control while stopping and starting.

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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

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Correct Answer is A

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Correct Answer is C

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