A nurse is caring for children. Which of the following children are at risk for developing lead poisoning?
A 2-year-old child who has a history of eating dirt.
A4-year-old child whose parents work in the textile industry.
A 6-year-old child in the 25th percentile for height and weight.
A 3-year-old child was diagnosed with autism spectrum disorder last month.
The Correct Answer is A
A. Children who ingest non-food substances, such as dirt (pica), are at an increased risk for lead exposure, especially if they live in environments where lead contamination is present in soil.
B. Parents working in certain industries can bring home lead dust on their clothes, but this is less likely in the textile industry compared to occupations like construction or manufacturing.
C. Growth percentile does not directly increase the risk for lead poisoning.
D. A recent diagnosis of autism spectrum disorder is not directly associated with an increased risk of lead exposure.
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Correct Answer is C
Explanation
A. This response assumes the family’s coping mechanisms are dysfunctional, which may not be accurate or helpful in the immediate situation.
B. Labeling the siblings as immature and suggesting counseling without further assessment is premature.
C. Jealousy and resentment are normal reactions among siblings when one child receives a lot of attention due to illness. The nurse can help the parent recognize these feelings and suggest ways to address them.
D. While it’s important for the siblings to understand their sister’s illness, this response does not acknowledge the emotional aspect of their jealousy and resentment.
Correct Answer is D
Explanation
A. This statement may instill fear in the child by labeling their germs as "bad and scary," which is not developmentally appropriate.
B. This response is not child-friendly and may confuse the child about their situation, lacking an explanation that they can understand.
C. While this is factual, the wording "dangerous to others" may be too intense for a young child to comprehend.
D. This statement uses simple language that explains the need for isolation in a way a child can understand, helping them grasp the concept without unnecessary fear.
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