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A nurse is assessing a toddler who has a history of lead poisoning. Which of the following actions should the nurse take?

A.

Perform developmental testing for delays.

B.

Initiate a low-iron diet for lead absorption.

C.

Obtain a stool specimen for lead levels.

D.

Inspect the skin for discoloration.

Answer and Explanation

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.


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Related Questions

Correct Answer is B

Explanation

A. Increased self-esteem is a positive aspect of development, but it may not be a consistent characteristic during early adolescence. Self-esteem can fluctuate based on various factors.

B. Mood swings are common during early adolescence due to hormonal changes and the emotional challenges that come with this stage of development. It's important for parents to be understanding and supportive during this time.

C. The growth rate during early adolescence may vary from person to person, but it generally accelerates rather than decelerates. This period is associated with rapid physical growth, known as the adolescent growth spurt.

D. Emotional separation from parents is a normal part of adolescent development, but it tends to become more prominent in later adolescence rather than early adolescence. During early adolescence, there may be a mix of seeking independence and still relying on parental support and guidance.

Correct Answer is D

Explanation

A. Nightmares are common in children and may not be directly related to the brain tumor. While they should be addressed, they are not the priority in this case.

B. Hyperactivity can be a normal behavior in preschoolers. It may or may not be related to the brain tumor. Other symptoms should take precedence.

C. Pruritus (itching) is a common symptom that can have various causes, and it may not be directly related to the brain tumor. It should be addressed but is not the priority in this case.

D. Correct. Diplopia (double vision) can be a neurological symptom associated with increased

intracranial pressure or other complications related to a brain tumor. It is important to report this finding promptly to the provider for further evaluation and intervention.

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