A nurse is planning care for Andrew, a 4-year-old child with autism spectrum disorder (ASD) newly admitted to the psychiatric unit. Assessment data includes: Difficulty with transitions; Increased agitation in new environment Sensitivity to loud noises and bright lights Increased hand flapping, jumping in place and humming Limited verbal communication; Uses picture cards at home Parents report successful use of weighted blanket during rest Based on this assessment, which nursing intervention is most appropriate to promote safety, comfort, and meet the child’s basic care needs?

Elsa, a 23-year-old female with Borderline Personality Disorder, is admitted to the inpatient psychiatric unit following self-harm behavior. The admission was precipitated by her cutting behavior after learning her regular therapist would be away on a planned two-week vacation. During the admission assessment, Elsa tells the nurse, “I hate being alone. When people leave me, even temporarily, I feel completely empty and worthless. Cutting is the only thing that helps me feel real again.” She shows the nurse several fresh cuts on her wrists. Her history indicates a pattern of self-harm, particularly during periods of perceived abandonment. Select the best initial nursing response:

A nurse is providing education to a group of parents whose children have been diagnosed with attention-deficit/hyperactivity disorder (ADHD). Which of the following 4 (FOUR) interventions should the nurse include in the teaching? (Select FOUR  Interventions.)

All postmortem conditions should be documented on the _______ before preparing an unembalmed decedent for an identification viewing. 

A patient has the following arterial blood gas (ABG) results: pH 7.50, PaCO2 50, HCO3 38. Which of the following signs may this patient exhibit as a compensatory mechanism?   Change question to “demonstrate”

Echogenic Intracardiac Focus EIF is located in the left atrium and in Asian patients it is a worrisome sign for aneuploidy?

Pick one mechanism of peripheral tolerance and describe the role that it plays in preventing autoimmunity.

When would passive immunotherapy be used instead of a vaccine?  Give an example. 

Please pick all that apply for your ABG Interpretation. pH 7.38 PaCO2 51 PaO2 39 HCO3 32 BE 8

A 74-year-old male client with moderate to late-stage Parkinson disease was admitted from home to the hospital yesterday with new-onset orthostatic hypotension and occasional dysphagia. This evening he says he has been “seeing things” in the room that he realized later that were not present. He states he has had the “visions” for over a month and they make him anxious and scared. Select whether the nursing actions listed below are Indicated (appropriate or necessary), Contraindicated (could be harmful), or Non-Essential (make no difference or are not necessary) for the client’s care at this time. Nursing Action Indicated, Contraindicated, Non-Essential Focus on reality and not the hallucination experience.  [option1] Place the client in 4 point-restrictive restraints.  [option2] Request a prescription for pimavanserin (Nuplazid) [option3] Refer the client to a mental health professional. [option4] Check patient’s vital signs.  [option5] Document the client’s report of hallucinations. [option6]