Author Question: The nurse is performing an assessment on a toddler who is suspected of being autistic. When ... (Read 31 times)

ss2343 · **on:** Jul 22, 2018

The nurse is performing an assessment on a toddler who is suspected of being autistic. When assessing the toddler for characteristics of autism, the nurse will question the parents about all of the following except the child's:

1. Ability to name objects.
2. Social interactions.
3. Manic or depressed episodes.
4. Habits and rituals.

Question 2

A client diagnosed with cardiomyopathy is being discharged to home. Which of the following would suggest that discharge teaching has been effective for this client?

1. I will eat foods containing sodium only if drinking water with them.
2. I will see the physician to discuss implanting a cardiac defibrillator next week.
3. I will exercise as much as possible regardless of feeling weak and short of breath.
4. My pants getting tight around the waist means I'm eating too much and short cut back on food.

dyrone · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

3. Manic or depressed episodes.

Rationale:
Manic or depressed episodes are characteristics of bipolar disorder, not autism. Autism is characterized by a triad of impairments: social isolation, communication impairment, and strange repetitive behaviors.

Answer to Question 2

2. I will see the physician to discuss implanting a cardiac defibrillator next week.

Rationale:
Evidence that discharge instruction is effective for a client with cardiomyopathy would be the statement I will see the physician to discuss implanting a cardiac defibrillator next week since sudden cardiac death can occur with this medical diagnosis. The other client statements would indicate that discharge teaching was not effective and the client needs additional instruction and follow-up.