An autistic child is hospitalized for surgery. Nursing care for this child should include which of the following interventions:

a. Forcing the child to play with other children in the playroom
b. Providing a structured environment similar to the child's usual routine
c. Discouraging the child from engaging in repetitive movement
d. Reporting signs of language delay to the nurse in charge


B
Autistic children may not wish to interact with other children. These children rely on routine and order for security. The nurse should try to maintain the normal routine as much as possible. The child may be comforted by the repetitive movement. Language delays are a common occurrence in autistic children.

Nursing

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A parent says to a nurse, "My 4-year-old has five cavities." The nurse informs the parent that early-childhood caries is related to which of the following?

1. Strong familial history of dental caries 2. Inadequate preventive care, including brushing the teeth and eating habits 3. Increased intake of iron supplements 4. Fluoride intake in water and in toothpaste

Nursing

During a teaching-learning session, the patient tells the nurse that he's tired and has "had enough" for today. The nurse realizes this patient is demonstrating:

a. fatigue c. pacing b. resistance d. motivation

Nursing

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1. Gives regular insulin within 15 to 30 minutes of meals 2. Stores sealed, unused insulin vials at room temperature 3. Examines vials of NPH insulin for abnormal cloudiness 4. Administers NPH insulin for sliding-scale insulin dosing

Nursing

The nurse suspects that the client may be experiencing peripheral neuropathy as a result of receiving paclitaxel (Taxol). What is the highest priority nursing intervention to use in monitoring the client for this adverse reaction?

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Nursing