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. "I want to learn how to empty my child's urinary catheter bag."

This statement indicates a misunderstanding of the child's condition. Hirschsprung disease affects the large intestine and does not typically require a urinary catheter. Therefore, this statement does not demonstrate an understanding of the teaching.

B. "I'm glad that my child's ostomy is only temporary."

This statement indicates an understanding of the teaching. Hirschsprung disease can sometimes require the creation of a temporary ostomy as part of the surgical treatment. Recognizing that the ostomy is temporary reflects comprehension of the planned treatment.

C. "I’m glad my child will have normal bowel movements now."

This statement reflects a misunderstanding of the surgical treatment for Hirschsprung disease. While surgery can improve bowel function, it may not result in completely normal bowel movements. Therefore, this statement does not demonstrate an accurate understanding of the teaching.

D. "I want to learn how to use my child's feeding tube as soon as possible."

Hirschsprung disease and its surgical treatment typically do not involve the use of a feeding tube. Therefore, this statement indicates a misunderstanding of the child's condition and the planned treatment.

A. Decreased auditory and visual acuity: Decreased auditory and visual acuity are not typically associated with primary dementia. While sensory impairments may occur with aging, they are not direct manifestations of dementia.

B. Decreased display of emotions: While individuals with dementia may experience changes in emotional expression, such as mood swings or emotional lability, a decreased display of emotions is not a universal manifestation. Some individuals may exhibit heightened emotional responses or become more emotionally labile as the disease progresses.

C. Forgetfulness gradually progressing to disorientation: This is the correct choice. Forgetfulness is often one of the initial signs of dementia, and it typically progresses to more severe cognitive impairments, including disorientation to time, place, and person. As dementia advances, individuals may become increasingly confused about their surroundings and lose track of time and events.

D. Personality traits that are opposite of original traits: While some changes in personality and behavior may occur in individuals with dementia, such as agitation, irritability, or apathy, personality traits that are opposite of the original traits are not necessarily characteristic of primary dementia. Personality changes in dementia are often more related to cognitive decline and impairment rather than a complete reversal of personality traits.