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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Free Nursing Study Resources

Correct Answer is D

Explanation

A. "Diaper dermatitis is always associated with an infection." Diaper dermatitis is most commonly caused by prolonged exposure to moisture, urine, or feces, leading to skin irritation. While secondary infections (e.g., Candida albicans) can develop, not all cases are infectious.

B. "Diaper dermatitis requires immediate assessment by a medical provider." Most cases of diaper dermatitis can be managed at home with frequent diaper changes, barrier creams (such as zinc oxide), and keeping the area dry. Medical evaluation is only necessary if the rash worsens, does not improve, or shows signs of infection (e.g., pustules, severe redness, fever).

C. "Diaper dermatitis causes significant long-term impacts." Diaper dermatitis is temporary and does not cause long-term effects when properly treated. Severe, untreated cases may lead to discomfort and secondary infections, but lasting damage is rare.

D. "Diaper dermatitis will respond to prompt treatment." This is correct. Frequent diaper changes, exposure to air, and application of barrier creams typically resolve mild to moderate diaper dermatitis within a few days.

A. Children with immune thrombocytopenia should not partake in physical activity. B. Children with immune thrombocytopenia have a lower risk of bleeding. C. Thrombocytopenia is a chronic disease in children. D. Children with a history of thrombocytopenia have a higher incidence of bleeding.

Correct Answer is D

Explanation

A. Children with immune thrombocytopenia should not partake in physical activity. While children with severe thrombocytopenia should avoid high-impact or contact sports, complete restriction from physical activity is unnecessary. Low-risk activities can be encouraged to support overall health.

B. Children with immune thrombocytopenia have a lower risk of bleeding. This is incorrect. Thrombocytopenia is characterized by low platelet levels, which increase the risk of bleeding and bruising, making injury prevention crucial.

C. Thrombocytopenia is a chronic disease in children. Immune thrombocytopenia (ITP) can be acute or chronic, but in most children, it is a self-limiting condition that resolves within months. Chronic ITP is less common but does occur in some cases.

D. Children with a history of thrombocytopenia have a higher incidence of bleeding. This is correct. Low platelet counts impair blood clotting, increasing the risk of spontaneous bruising, nosebleeds, and prolonged bleeding from minor injuries. Parents should monitor for signs of bleeding and avoid medications like aspirin or NSAIDs that can worsen bleeding risk.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing education with a caregiver of a pediatric client about diaper dermatitis. Which of the following statements should the nurse make?

Correct Answer is D

Explanation

A nurse is caring for a child who has a new diagnosis of immune thrombocytopenia. Which of the following information regarding implications of the diagnosis should the nurse reinforce in the discharge instructions?

Correct Answer is D

Explanation

A nurse is discussing contraceptives with an adolescent who has disabilities. The adolescent has difficulty with motor movements and decreased memory. Which of the following birth control methods would be most appropriate for this child?

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