A nurse in a clinic is assessing a 9-month-old infant.
Which of the following findings requires further intervention?

The correct answer is Choice B.

Choice A rationale

Isosorbide dinitrate is a nitrate used to treat angina and heart failure. It does not have contraindications for patients with asthma.

Choice B rationale

Carvedilol is a beta-blocker that can exacerbate asthma symptoms because it blocks beta-2 receptors in the lungs, leading to bronchoconstriction.

Choice C rationale

Captopril is an ACE inhibitor used to treat hypertension and heart failure. It does not have contraindications for patients with asthma.

Choice D rationale

Fluticasone is a corticosteroid used to manage asthma and does not have contraindications for patients with heart failure.

The correct answer is Choice D.

Choice A rationale

Referring the child to social work for early intervention is important, but it is not the immediate priority. The nurse should first discuss the assessment findings with the primary care provider to confirm the diagnosis and plan the next steps.

Choice B rationale

Educating the parents on the developmental delays their child is diagnosed with is essential, but it should come after a confirmed diagnosis and a comprehensive plan is in place. The primary care provider should be involved in this process.

Choice C rationale

Providing the parents with pamphlets for support groups is supportive but not the immediate priority. The nurse should first ensure that the primary care provider is aware of the assessment findings to confirm the diagnosis and plan appropriate interventions.

Choice D rationale

Discussing the assessment findings with the primary care provider is the priority action. This ensures that the child receives a thorough evaluation and appropriate interventions are planned based on a confirmed diagnosis.