An appropriate nursing intervention for a hospitalized child who is autistic would be to:

Correct Answer: D

Rationale: Minimizing disruptions (D) supports autistic children’s need for structure. Activity (A) overwhelms, age-based communication (B) ignores ability, and no toys (C) limits comfort. Document: 'Provide a highly structured environment with few distractions.'

Correct Answer: A

Rationale: Seizures over 5 minutes (A) suggest status epilepticus, requiring 911. Falling (B), confusion (C), and lethargy (D) are normal postictal states. Document: 'If seizures last more than 5 minutes, call 911… possible status epilepticus.'

Correct Answer: D

Rationale: Atomoxetine is a non-stimulant medication for ADHD. Suicidal ideation (Choice D) is a critical side effect, with a black box warning from the FDA due to increased risk in children and adolescents, necessitating parental awareness. Cardiac toxicity (Choice A) is rare and less emphasized compared to stimulants. Depression (Choice B) can occur but isn’t the primary concern. Potential for abuse (Choice C) is negligible as atomoxetine lacks stimulant properties. Suicidal ideation’s severity and regulatory emphasis make it the most important warning.

Correct Answer: D

Rationale: Aspirin (acetylsalicylic acid) overdose requires enhanced excretion. Urinary alkalinisation (Choice D) with bicarbonate increases urine pH, ionizing salicylate (weak acid), trapping it in urine for excretion, and is the standard approach. Allopurinol (Choice A) treats gout, not relevant. Forced diuresis with furosemide (Choice B) increases volume but not pH. Hyperhydration (Choice C) dilutes but doesn’t optimize excretion. Alkalinisation is most effective.

Correct Answer: B

Rationale: HDR syndrome (hypoparathyroidism, deafness, renal anomalies) is autosomal dominant , linked to GATA3 mutations on chromosome 10 (NIH). Other inheritance patterns (A, C, D, E) do not apply.