A nurse is assessing a 3-year-old child and suspects the child may have a developmental delay. Which of the following actions is a priority for the nurse to take?
Discuss the assessment findings with the primary care provider.
Utilize social work for referral to early intervention.
Provide the parents with pamphlets for support groups for children with developmental delays.
Educate the parents on the developmental delays their child is diagnosed with.
The Correct Answer is A
A. The priority is to discuss the findings with the primary care provider to determine the next steps in diagnosis and intervention. Early identification and referral are crucial for addressing developmental delays.
B. Referring to early intervention is important but should follow the discussion with the primary care provider to ensure an appropriate and coordinated response.
C. Providing pamphlets is supportive but secondary to initiating a formal evaluation and intervention process.
D. Educating the parents is essential, but it should be based on a confirmed diagnosis and plan developed in collaboration with healthcare providers.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Pyloric stenosis causes projectile vomiting and dehydration due to gastric outlet obstruction, not inadequate motility of the intestine.
B. Hirschsprung's disease (congenital aganglionic megacolon) leads to inadequate motility of part of the intestine and results in a mechanical obstruction.
C. Encopresis refers to the involuntary defecation in children, typically related to constipation, not motility issues.
D. Enterocolitis is inflammation of the intestine and can cause symptoms such as diarrhea, but it is not characterized by inadequate motility of the intestine.
Correct Answer is ["A","B","C"]
Explanation
A. Removing objects from the bed is necessary to prevent injury during the seizure.
B. Placing the client in a side-lying position helps to maintain an open airway and reduces the risk of aspiration.
C. Assessing airway patency is crucial to ensure the client can breathe adequately during and after the seizure.
D. Placing a tongue depressor or any object in the client's mouth is contraindicated, as it can cause injury or obstruct the airway.
E. Restraining the client is also contraindicated because it can cause harm or increase agitation during a seizure.
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