solved Isabel is a 2 1â„2-year-old toddler who lives with her
Isabel is a 2 1â„2-year-old toddler who lives with her parents and 13-month old sister in a rural community. Her father is a migrant worker and her mother stays at home with the children. Both parents are smokers. Both Isabel and her sister experienced recurrent episodes of otitis media during infancy although Isabel’s infections have become less frequent. Isabel’sspeech is delayed; however, her mother believes that this is due to her lack of interactions with other children her age. Their culture and financial situations do not encourage daycare settings for children if the mother can stay at home with them. Most of Isabel’s speech is not understandable although she babbles “constantly.†Both children have received their scheduled immunizations at the local pediatric clinic. Isabel is brought to the clinic by her parents when she places a small toy in her ear that her parents are unable to remove.During the admission history, Isabel’s mother tells the nurse that she has had “behavior problems†with Isabel since she was 11 months old although she stated she had not mentioned this to the staff at the clinic because she was embarrassed. On further questioning, Isabel’s mother explains that Isabel “never listens to me and doesn’t even look at me when I talk to her.â€She further states that Isabel doesn’t talk so they can understand her even though they have friends whose children not only talk all the time, but she can understand what they are saying. “Isabel’s problems are probably my fault because I didn’t raise her right. Now I’m afraid she is retarded and I don’t know how to help her.†Isabel sits in her mother’s lap babbling during the interview and does not make eye contact with her parents or the nurse during their conversation or when addressed. She appears disinterested in her surroundings.What is the primary concern or client need in this situation? Support answer with the data in the case. List other client needs/problems in the case. Identify any additional information or assessment data that is needed by the nurse in planning care for this client?What nursing actions are appropriate? What is the priority nursing action? Describe other nursing interventions that are important to providing optimal care. Describe the roles/responsibilities of the interprofessional health care team members who may be involved in providing care. Discuss your feelings about parents’ behaviors that place their children at risk