A nurse in a pediatric clinic is caring for a preschooler. Vital Signs​: Heart rate 108/min, Respiratory rate 24/min,Temp 98.3\deg F, Medical History​:Born full-term without complications. Has met all developmental milestones, no history of hospitalizations or serious illnesses. Current on all recommended immunizationsNurses Notes: Child presents with guardian for annual well-child exam. Child is alert and talkative, speech clear. Guardian reports that child "doesn't follow directions very well" and gets bored with activities very quickly. Child is swinging legs while sitting in chair, fidgeting, opening drawers in the room, and interrupting others when they are speaking. Guardian states the child angers quickly and throws toys at others when frustrated. Guardian reports the child's preschool teacher voiced concerns about the child's behavior and encouraged the guardian to have the child assessed by their prov

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