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 A
Explanation
A. Agitation can be a sign of hypoxemia, as the body responds to low oxygen levels with restlessness and anxiety.
B. Nausea is less directly related to hypoxemia and more often associated with other conditions.
C. Hypotension is not a typical primary manifestation of hypoxemia; it is more associated with severe or advanced stages of illness.
D. Dysphagia (difficulty swallowing) is not a common symptom of hypoxemia during an asthma attack.
Correct Answer is A
Explanation
A. Sitting the child upright and forward while applying pressure to the sides of the nose is the correct approach to managing a nosebleed. This position prevents blood from flowing down the throat and helps stop the bleeding by applying direct pressure.
B. Turning the child's head to the side and pressing on the nasal ridge is incorrect because it does not effectively control the bleeding and may cause blood to flow into the throat.
C. Lying the child in bed and pressing on the forehead is not effective in controlling a nosebleed.
D. Lying flat and applying pressure to the cheeks does not address the source of the bleeding and may worsen the situation.
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