The nurse is caring for a child diagnosed with autism spectrum ...

[faduma]

The nurse is caring for a child diagnosed with autism spectrum disorder (ASD) who is being admitted to the hospital with dehydration. Which action by the nurse is appropriate when the child arrives to the care area?
 
  A) Take the child on a tour of the pediatric unit.
  B) Take the child to the playroom for arts and crafts.
  C) Quietly orient the child to a single-bed hospital room.
  D) Orient the child to a four-bed unit.

Question 2

The nurse is caring for 9-month-old client diagnosed with ataxic cerebral palsy (CP). Which clinical manifestations does the nurse expect when assessing this client?
 
  Select all that apply.
  A) Muscle instability
  B) Hypotonia
  C) Hemiplegia
  D) Hypertonia
  E) Tremors

[1_Step_At_ATime]

Answer to Question 1

Answer: C

Orienting a child with autism to a new environment is important, although this must be done in a quiet, controlled environment. A single room is the best place for an autistic child if the child must be hospitalized. Taking a child with autism on a tour of the pediatric unit would be too much stimulation for this child. Arts and crafts might be appropriate for an autistic child if done in the child's room, but going to the playroom would be too much stimulation for this child. An autistic child should be in a single room, if possible, away from distractions.

Answer to Question 2

Answer: A, B

Hypotonia in infancy and muscle instability are seen in ataxic CP. Hemiplegia and hypertonia are seen in spastic CP. Tremors and exaggerated posturing are seen in dyskinetic CP. Hypertonia and persistent primitive reflexes are seen in spastic CP.

[faduma]

TYSM

[bimper21]

Excellent