What is the best intervention when a child with autism is hospitalized?
a. Limit the individuals who enter the child's room.
b. Perform all of the child's activities of daily living for her.
c. Make sure the nurses know this child may be violent.
d. Assign the strongest nurse to control the child.
A
The child with autism is often unable to tolerate the slightest change in routine. Limiting who enters the child's room to those knowledgeable about the child's routine will facilitate the child's adaptation to the hospital environment. The most important nursing consideration when planning care for a child with autism is to assign the child to a nurse who is familiar with the child's routine and to follow that routine. The child should be encouraged to perform toileting and self-care activities as she normally would if she were not in the hospital. There is no indication that the child will be violent. Limiting the number of individuals in contact with the child and maintaining a routine will decrease any chance of violence. Strength should not be a consideration in assignments.
You might also like to view...
A nurse cares for a client who has kidney stones from secondary hyperoxaluria. Which medication should the nurse anticipate administering?
a. Phenazopyridine (Pyridium) b. Propantheline (Pro-Banthine) c. Tolterodine (Detrol LA) d. Allopurinol (Zyloprim)
The nurse knows the Johari Window is a theoretical tool used to represent:
1. The id and the superego in relation to self-awareness. 2. Depression in family members. 3. A multidimensional model of self. 4. Self-disclosure in relation to others.
A patient's physician writes a medication order to administer 20 mEq of potassium chloride to a patient. The ICU nurse misreads the order as 200 mEq of potassium and administers this amount of medication to the patient. As a result, the patient dies
This situation is an example of which of the following? A) A questionable medical order B) Negligent supervision C) Ordinary negligence D) Gross negligence
The nurse is most concerned with the risk of drug toxicity in a client with renal disease because which of the following pharmacokinetic processes is most likely altered?
1. excretion 2. metabolism 3. distribution 4. absorption