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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Maintaining a neutral facial expression when speaking to a child with hearing loss is not the most effective
communication strategy. Facial expressions are a crucial part of non-verbal communication, and they can provide important context and emotional cues that can aid in understanding.
Choice B rationale
Using light touch when initiating conversation can be an effective way to gain the child’s attention without startling them. This can be especially helpful for a child with hearing loss, as they may not hear someone approaching or starting to speak.
Choice C rationale
Changing positions frequently to maintain the child’s attention is not recommended. It’s better to maintain a steady position facing the child to facilitate lip-reading and non-verbal communication.
Choice D rationale
Exaggerating the pronunciation of words can actually make lip-reading more difficult for the child. It’s better to speak clearly and at a normal pace.
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.
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