A nurse is providing care for a toddler diagnosed with autism spectrum disorder and failure to thrive. What strategy should the nurse employ?

Propose food even if the child shows no interest.

Integrate play activities during meal times.

Establish regular meal times.

Permit a variety of food options.

Answer and Explanation

The Correct Answer is C

Choice A rationale
Proposing food even if the child shows no interest might not be effective. Children with autism spectrum disorder often have specific food preferences and may resist trying new foods.
Choice B rationale
While integrating play activities during meal times can make the experience more enjoyable for some children, it might be distracting for a child with autism spectrum disorder. These children often benefit from a calm, structured environment.
Choice C rationale
Establishing regular meal times can provide a sense of structure and predictability, which can be comforting for children with autism spectrum disorder. Regular meal times can also help ensure that the child is receiving adequate nutrition.
Choice D rationale
Permitting a variety of food options can be beneficial for some children, but children with autism spectrum disorder often have specific food preferences and may resist trying new foods.

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Correct Answer is B

Explanation

Choice A rationale
While infant formula is a common feeding option, it does not enhance the absorption of iron. In fact, iron is better absorbed when taken with vitamin C, which is abundant in orange juice.
Choice B rationale
The mother is correctly administering the iron drops. Giving iron with orange juice can enhance iron absorption due to the vitamin C content.
Choice C rationale
Mixing the iron drops in the orange juice is not necessary and could potentially alter the taste of the juice.
Choice D rationale
There is no need to refrain from feeding the infant for 30 minutes after giving the iron drops.

A. Use a disposable moist wipe to remove eye crusts. B. Prepare the child for blurry vision after ointment application. C. Remove secretions by wiping toward the opposite eye. D. Discontinue the ointment once drainage resolves.

Correct Answer is B

Explanation

Choice A rationale
Using a disposable moist wipe to remove eye crusts can be helpful, but it’s not the most important instruction for caregivers. The crusts are a symptom of the infection, and while removing them can make the child more comfortable, it doesn’t address the underlying issue.
Choice B rationale
When using an ophthalmic anti-infective ointment, it is important to prepare the child for blurry vision after ointment application. This is because the ointment can temporarily blur vision after application. It is important to follow the instructions on the medication label and continue using the ointment for the full course of treatment, even if symptoms improve before then.
Choice C rationale
While it’s important to keep the eye area clean, wiping towards the opposite eye could potentially spread the infection. Therefore, this is not the best advice for caregivers.
Choice D rationale
Discontinuing the ointment once drainage resolves could lead to an incomplete treatment of the infection. It’s crucial to use the ointment for the full course of treatment as prescribed by the healthcare provider, even if symptoms seem to improve.

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A nurse is providing care for a toddler diagnosed with autism spectrum disorder and failure to thrive. What strategy should the nurse employ?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse observes a mother administering ferrous sulfate (iron drops) to her 11-month-old child, followed by 2 ounces (60 mL) of orange juice. What should be the nurse’s subsequent action?

Correct Answer is B

Explanation

The nurse is caring for a school-age child with crusting and swollen eyelids, purulent drainage, and inflamed conjunctiva. The child receives a prescription for an ophthalmic antinfective ointment. What instruction should the nurse provide the child’s caregivers during discharge education?

Correct Answer is B

Explanation

A nurse is providing care for a toddler diagnosed with autism spectrum disorder and failure to thrive. What strategy should the nurse employ?

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