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Unformatted text preview: with limited visual and auditory distractions. A private room would be the best environment, allowing for
control of visual and auditory distractions. The semiprivate and four-bed ward rooms would be too stimulating for the child with
autism. Autism is not a disorder that requires contact isolation.
42. Basilar Skull Fractures
Nasotracheal suctioning is contraindicated in a child with a basilar skull fracture. Because of the
nature of the injury, there is a high risk of secondary infection and the probability of the catheter entering the brain through the
fracture. Fluid balance is monitored closely by daily weight, intake and output measurement, and serum osmolality determination
to detect early signs of water retention, excessive dehydration, and states of hypertonicity or hypotonicity. The child is
maintained on an NPO status or restricted to clear liquids until it is determined that vomiting will not occur. An intravenous line
is maintained to administer fluids or medications if necessary.
43. Bacterial Meningitis
Meningitis is an infectious process of the central nervous system caused by bacteria and viruses; it
may be acquired as a primary disease or as a result of complications of neurosurgery, trauma, infectio...
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- Spring '14