A child diagnosed with autism spectrum disorder (ASD) is admitted ...

[gonzo233]

A child diagnosed with autism spectrum disorder (ASD) is admitted to the hospital with dehydration. Which should the nurse include in the plan of care for this child?
 
  1. Discourage the parents from bringing favorite toys from home that might be lost.
  2. Take the child on a tour of the pediatric unit.
  3. Assign the child to a single-bed hospital room.
  4. Take the child to the playroom for arts and crafts.

Question 2

The nurse is preparing to administer an intramuscular injection to a toddler-age client. Which is the most appropriate statement by the nurse prior to this procedure?
 
  1. It is all right to cry. After we are done, you can go to the box and pick out your favorite sticker.
  2. We will give you your shot when your mommy comes back.
  3. I will wipe your skin with a magic wipe and then hold the needle like this and say one, two, three, go' and give you your shot. Are you ready?
  4. This is a magic sword that will give you your medicine and make you all better.

[vish98]

Answer to Question 1

3
Explanation:
1. Children with autism often carry a special toy. This should be kept with the child.
2. Taking a child with autism on a tour of the pediatric unit would be too much stimulation for this child. A quiet, controlled environment is best for a child with autism.
3. A single room is the best place for an autistic child if the child must be hospitalized.
4. Arts and crafts might be appropriate for an autistic child if they are done in the child's room. Going to the playroom would be too much stimulation for this child.

Answer to Question 2

1
Explanation:
1. The most appropriate response would be to acknowledge the child's feelings and allow the child to pick out a sticker at the conclusion of the injection.
2. Waiting for the mother to come back would be inappropriate because toddlers do not have an understanding of time.
3. Giving elaborate descriptions and using colorful language are inappropriate because the instructions are unclear and lengthy.
4. The nurse should not make statements that are not true and might confuse the child.