A nurse is planning care for Andrew, a 4-year-old child with…

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?

The family of a client with history of epilepsy who has been…

The family of a client with history of epilepsy who has been taking phenytoin (Dilantin) ER 100 mg four times a day calls the clinic stating the client has altered coordination, nystagmus, confusion, and slurred speech. What instructions should the nurse give to the family?