A nurse is reviewing the assessment findings of a paediatric patient. Which finding will the nurse prioritize?

Choice A reason: Identifying the patient's nutritional needs is important, but given the significant weight loss and the patient's distorted body image, it is crucial to first address the underlying psychological issues.

Choice B reason: Providing a structured environment can be beneficial for patients with eating disorders, but it is not the most immediate priority in this case. The primary concern is the patient's mental health and distorted body image.

Choice C reason: Requesting a mental health consult is the priority intervention. The patient's significant weight loss, low body weight, and belief that they are fat suggest the possibility of an eating disorder, such as anorexia nervosa. A mental health professional can provide a comprehensive evaluation and appropriate psychological support and intervention.

Choice D reason: Planning a therapeutic diet is important for the long-term management of the patient's nutritional status, but it should follow after addressing the immediate mental health concerns. Proper treatment of an eating disorder requires a multidisciplinary approach, including psychological, nutritional, and medical interventions.

Choice A reason: While some parents may choose to home school their child, this is a personal decision and not a standard recommendation for all children with Trisomy 21. Educational needs should be tailored to the individual child's abilities and preferences, and many children with Trisomy 21 attend public or private schools with appropriate support.

Choice B reason: Teaching the parents about the need for a high-fibre diet is important for overall health but is not specific to Trisomy 21. While children with Trisomy 21 may benefit from a balanced diet, the need for monthly thyroid testing is more directly related to managing their condition.

Choice C reason: Instructing the parents on the need for yearly dental visits is essential for maintaining oral health, but it is not the most critical aspect specific to Trisomy 21. Regular dental check-ups are recommended for all children, regardless of whether they have Trisomy 21.

Choice D reason: Advising the parents that the child will need monthly thyroid testing is crucial because children with Trisomy 21 are at an increased risk for thyroid disorders. Regular monitoring of thyroid function is essential for early detection and management of hypothyroidism or hyperthyroidism, which can significantly impact growth and development.