A nurse is reinforcing education to the parent of a 5-year-old client who has manifestations consistent with autism spectrum disorder (ASD). Which of the following statements should the nurse reinforce about the screening process for ASD?

"Screening involves a combination of parent interviews, observations, and standardized developmental screening tools."

"ASD can be definitively diagnosed with a simple blood test, so we will schedule one for your child."

"The screening process for ASLs usually completed in one visit to the healthcare provider."

"If your child makes eye contact with you we can rule out autism spectrum disorder."

Answer and Explanation

The Correct Answer is A

A. "Screening involves a combination of parent interviews, observations, and standardized developmental screening tools." The diagnosis of autism spectrum disorder (ASD) is based on behavioral assessments, including parent-reported history, clinical observations, and standardized screening tools such as the Modified Checklist for Autism in Toddlers (M-CHAT).

B. "ASD can be definitively diagnosed with a simple blood test, so we will schedule one for your child." There is no blood test or biomarker that can diagnose ASD. Diagnosis is based on behavioral and developmental criteria rather than laboratory tests.

C. "The screening process for ASD is usually completed in one visit to the healthcare provider." ASD screening and diagnosis require multiple evaluations over time, often involving developmental specialists, psychologists, and speech therapists to get a comprehensive understanding of the child’s behaviors.

D. "If your child makes eye contact with you, we can rule out autism spectrum disorder." While reduced eye contact is a common characteristic of ASD, some children with ASD do make eye contact, and the presence or absence of this behavior alone does not confirm or rule out the disorder.

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Correct Answer is B

Explanation

A. “I will give you the names and contact information of a few good counselors. Talking to a professional is very helpful." While counseling can be beneficial, immediately directing the parent to therapy may feel dismissive of their immediate distress. A more supportive and solution-focused approach, such as discussing respite care, directly addresses the caregiver's burden.

B. “Taking care of anyone with complex medical needs can be very overwhelming. What has your healthcare team told you about respite care?” This response validates the parent's feelings while offering a practical solution. Respite care can provide temporary relief for caregivers, allowing them time to rest and recover, which can reduce burnout.

C. "You seem to be under a lot of stress. Have you tried reading self-help books on coping with stress?" While self-help books may provide general coping strategies, this suggestion does not acknowledge the immediate emotional burden the parent is experiencing or offer direct assistance.

D. "Has something changed with your child's health condition? You can usually handle taking care of them. I will schedule a follow-up appointment with their provider to see what is going on.” Assuming the parent can "usually handle" caregiving may invalidate their struggle. Additionally, suggesting a medical follow-up for the child rather than addressing the caregiver’s needs misses the core issue of caregiver stress.

Correct Answer is ["120"]

Explanation

Calculate the total drops per hour:

Formula:

Total drops/hour = Volume (mL/hr) x Drop factor (gtt/mL)

=120 mL/hr x 60 gtt/mL

= 7200 gtt/hr

Calculate the drops per minute:

Formula:

Drops per minute (gtt/min) = Total drops/hour / 60 minutes/hour

=7200 gtt/hr / 60 min/hr

= 120 gtt/min

The nurse should set the IV flow rate to deliver 120 gtt/min.

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A nurse is reinforcing education to the parent of a 5-year-old client who has manifestations consistent with autism spectrum disorder (ASD). Which of the following statements should the nurse reinforce about the screening process for ASD?

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A nurse is preparing to administer lactated Ringer's solution IV to infuse at 120 mL/hr for a client who has a respiratory disorder. The drop factor on the manual IV tubing is 60 gtt/ml. The nurse should set the IV flow rate to deliver how many gtt/min? (Round to the nearest whole number.)

Correct Answer is ["120"]

Explanation

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