A nurse is assessing a toddler who has a history of lead poisoning. Which of the following actions should the nurse take?
Perform developmental testing for delays.
Initiate a low-iron diet for lead absorption.
Obtain a stool specimen for lead levels.
Inspect the skin for discoloration.
The Correct Answer is A
A. Toddlers with a history of lead poisoning are at risk for developmental delays.
Developmental testing can help identify any delays that may require intervention or support.
B. Lead absorption is not related to iron intake. However, a diet rich in iron can help reduce the absorption of lead.
C. Blood testing, not stool testing, is the primary method for assessing lead levels. Blood lead levels provide the most accurate information about lead exposure.
D. While lead poisoning can cause changes in skin color in severe cases, it is not the primary assessment for lead exposure. Blood lead levels and developmental testing are more indicative of lead poisoning.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Dark brown blood noted in emesis is a concerning finding and may indicate active bleeding. This requires immediate intervention by the nurse, as post-tonsillectomy hemorrhage is a potential complication.
B. An axillary temperature of 38° C (100° F) is slightly elevated, but it is not the most concerning finding in this situation. It may be expected after surgery due to inflammation and the body's stress response.
C. A pain level of 5 on the FACES scale indicates moderate pain. While pain management is important, it is not the most urgent concern in this situation.
D. Frequent swallowing may be expected after a tonsillectomy due to postoperative
throat discomfort. It is important to monitor for bleeding, but dark brown blood in emesis is a more immediate concern.
Correct Answer is B
Explanation
A. "You should notify your provider if your testes are firm and egg shaped." This statement does not provide specific guidance on when or how to perform the examination. It also describes a normal shape of the testes.
B. This is the correct statement. Performing the testicular self-examination following a warm shower helps relax the scrotal tissue, making it easier to detect any abnormalities or changes.
C. "If you feel a hard lump, wait 1 month and retest yourself." This is not advisable. If a hard lump is detected during a testicular self-examination, the individual should promptly notify their healthcare provider for further evaluation.
D. "You should perform the examination once every other month." While regular
testicular self-examinations are important, it is generally recommended to perform them monthly, not once every other month.
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