A nurse is collecting data from a 7-year-old child. Which of the following findings indicates a developmental delay?

Rationale:

A) Providing pain medication on a schedule helps maintain comfort and manage pain effectively in a terminally ill adolescent.

B) Limiting visits from siblings may not be necessary unless the adolescent prefers limited visitors or the siblings are unwell.

C) The parent's presence should be based on their preferences and the adolescent's needs, rather than leaving solely when the child needs to rest.

D) The decision to allow the child to die at home should be based on the family's preferences, the adolescent's wishes, and the availability of appropriate support and resources.

Rationale:

A) Insomnia is a sleep disorder and is not typically associated with head injuries unless there is a concurrent neurological complication.

B) Irritability can be a sign of increased intracranial pressure following a head injury and should be promptly reported for further evaluation.

C) Diarrhea is not a common manifestation of head injuries and would not typically be included in monitoring and reporting instructions.

D) Hypothermia is not typically associated with head injuries unless there is a severe injury with shock, and it is not a common manifestation requiring monitoring in the acute phase of head injury.