A nurse is assessing a toddler who has a history of lead poisoning.
Which of the following actions should the nurse take?
Obtain a stool specimen for lead levels
Initiate a low-iron diet for lead absorption
Perform developmental testing for delays
Inspect the skin for discoloration
The Correct Answer is C
Question 1: The correct answer is Choice c. Perform developmental testing for delays.
Lead poisoning can lead to cognitive, behavioral, and developmental impairments, making developmental testing crucial for assessing potential delays and planning interventions. Developmental testing allows healthcare providers to identify any areas of concern early on, enabling them to implement appropriate interventions to support the child's development and mitigate the effects of lead poisoning.
Choice A rationale: Obtaining a stool specimen for lead levels is not the appropriate action in this scenario. Lead poisoning is typically assessed through blood lead levels, not stool specimens. Stool specimens are more commonly used for assessing gastrointestinal issues or infections rather than lead levels.
Choice B rationale: Initiating a low-iron diet for lead absorption is not recommended. Iron deficiency can actually increase lead absorption in the body, so reducing iron intake could potentially exacerbate the issue. Instead, ensuring an adequate intake of iron-rich foods may be beneficial for overall health but is not a primary intervention for lead poisoning.
Choice D rationale: Inspecting the skin for discoloration is not a relevant action for assessing lead poisoning. While lead poisoning can manifest in various symptoms, skin discoloration is not typically associated with lead exposure. Other signs and symptoms such as cognitive, behavioral, and developmental impairments are more indicative of lead poisoning.
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Related Questions
Correct Answer is C
Explanation
Choice A rationale
Hyperactivity can be a normal behavior in preschoolers. It may or may not be related to the brain tumor.
Choice B rationale
Pruritus is not typically associated with a brain tumor. It could be related to other conditions or medications.
Choice C rationale
Diplopia, or double vision, can be a sign of increased intracranial pressure, which is a serious complication of a brain tumor. This should be reported to the provider immediately.
Choice D rationale
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.
Correct Answer is D
Explanation
Choice A rationale
Performing the examination once every other month is not the recommended frequency. It is generally recommended that males perform a testicular self-examination monthly.
Choice B rationale
Notifying your provider if your testes are firm and egg-shaped may not be necessary, as this is generally considered a normal characteristic of testes. However, any changes in size, shape, or consistency should be reported.
Choice C rationale
Waiting a month after feeling a hard lump is not recommended. If a hard lump is detected during a self-
examination, it should be reported to a healthcare provider immediately, as it could be a sign of testicular cancer.
Choice D rationale
Performing the examination following a warm shower is recommended. The warmth relaxes the scrotum, making it easier to examine the testicles.
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