The parents of a 8-year-old child express concerns about a recent decrease in the child’s academic performance at school.

The parents of a 8-year-old child express concerns about a recent decrease in the child’s academic performance at school. The parents state that the child has been doing very well in year past, but has been struggling with reading since the start of the school year. The child likes school, is willing to do homework, and denies any issues with bullying or conflicts with teachers. The child is otherwise healthy and growth and development are normal. Vital signs, review of systems, and physical exam are normal. The child is social, interactive, and appropriate in clinic. With all of this information, which of the following would be the priority recommendation for the nurse practitioner? Select one: a. Screening for a metabolic disease. b. Karyotyping for an emerging genetic disease. c. Recommending seeing an optometrist. d. Lab work for a possible iron deficiency anemia