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?
Refer the child to social work for early intervention.
Educate the parents on the developmental delays their child is diagnosed with.
Provide the parents with pamphlets for support groups for children with developmental delays.
Discuss the assessment findings with the primary care provider.
The Correct Answer is 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.
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Correct Answer is B
Explanation
Choice A rationale
Administering an oral analgesic does not aid in bronchodilation and is not effective in treating laryngotracheobronchitis (Croup)10.
Choice B rationale
Assisting with racemic epinephrine nebulizer therapy is the most effective measure in aiding bronchodilation in a child with laryngotracheobronchitis (Croup). Racemic epinephrine helps reduce airway swelling and improve breathing.
Choice C rationale
Urging the child to continue to take oral fluids is important for hydration but does not directly aid in bronchodilation.
Choice D rationale
Teaching the child to take long, slow breaths can help with breathing techniques but is not the most effective measure for bronchodilation.
Correct Answer is D
Explanation
Choice A rationale
A sputum culture can help identify respiratory infections but is not definitive for diagnosing cystic fibrosis.
Choice B rationale
Stool fat content analysis can indicate malabsorption issues but is not specific to cystic fibrosis.
Choice C rationale
Pulmonary function tests assess lung function but do not confirm a diagnosis of cystic fibrosis.
Choice D rationale
The sweat chloride test is the gold standard for diagnosing cystic fibrosis. It measures the concentration of chloride in sweat, which is elevated in individuals with cystic fibrosis due to defective chloride transport in sweat glands.