A nurse is assessing a toddler who has suspected lead poisoning. Which of the following findings should the nurse expect the client to manifest with acute lead poisoning?

A. Constant need to talk about the event. While individuals with PTSD may experience intrusive thoughts or flashbacks related to the traumatic event, a constant need to talk about the event is not universally characteristic. Some individuals with PTSD may avoid discussing the traumatic event altogether due to the distress it causes them, while others may find it helpful to talk about it in therapy or support groups.

B. Increasing feelings of anger. This is the correct choice. Feelings of anger and irritability are common symptoms of PTSD. Individuals may experience heightened levels of anger as a result of feeling violated, powerless, or betrayed by the traumatic event. Anger may be directed toward the perpetrator, oneself, or others, and it can contribute to difficulties in interpersonal relationships and daily functioning.

C. Sleeping 12 hr or more each day. While sleep disturbances are common in PTSD, they typically manifest as insomnia, nightmares, or restless sleep rather than excessive sleep. Individuals with PTSD may struggle to fall asleep, experience frequent awakenings during the night, or have nightmares related to the traumatic event. Excessive sleeping is not typically associated with PTSD.

D. Increasing sense of attachment to others. Individuals with PTSD may experience difficulties in forming or maintaining relationships due to symptoms such as emotional numbing, avoidance of reminders of the trauma, and difficulties in trusting others. While some individuals may seek support from loved ones, an increasing sense of attachment to others is not typically an expected finding in PTSD.

A. "You should get a psychological consult for the temper tantrums." This statement may cause unnecessary concern for the parents. Temper tantrums are a common behavior in toddlers and typically do not require a psychological consult unless they are severe, persistent, or accompanied by other concerning behaviors.

B. "You should leave the room while the tantrum is happening." Leaving the room while the tantrum is occurring may not be the most effective approach. It's important for parents to provide comfort and support to their toddler during a tantrum, while also setting appropriate limits and boundaries.

C. "Temper tantrums are a type of learning disability." Temper tantrums are not indicative of a learning disability. They are a normal part of development and occur as toddlers learn to express their emotions and navigate their environment.

D. "Temper tantrums are the toddler's attempt to gain control of a situation." This statement is accurate. Temper tantrums often occur when toddlers feel frustrated, overwhelmed, or unable to express their needs effectively. Tantrums are a way for toddlers to assert their independence and gain control over their environment. Understanding this can help parents respond to tantrums with patience and empathy, while also setting appropriate limits and teaching coping strategies.