A nurse is providing care to a 4-year-old preschooler who has suspected lead poisoning. Which of the following actions should the nurse take first?
Prepare the child for venipuncture to obtain a blood sample for lead level testing.
Discuss the need for developmental assessments to evaluate the impact of lead exposure.
Document a detailed history of the child's growth and development, as well as manifestations of lead exposure.
Instruct the parents to remove peeling paint and clean dust in the home to reduce the risk of lead exposure.
The Correct Answer is A
A. Prepare the child for venipuncture to obtain a blood sample for lead level testing: Confirming suspected lead poisoning requires measurement of a venous blood lead level. This diagnostic step is the priority because it establishes exposure severity and guides further management, including environmental interventions and possible chelation therapy.
B. Discuss the need for developmental assessments to evaluate the impact of lead exposure: Developmental evaluation is important because lead exposure can cause cognitive and behavioral effects, but it is addressed after confirming the diagnosis and determining the extent of exposure.
C. Document a detailed history of the child's growth and development, as well as manifestations of lead exposure: A thorough history supports overall assessment, but it does not take priority over obtaining objective laboratory confirmation needed to direct immediate care decisions.
D. Instruct the parents to remove peeling paint and clean dust in the home to reduce the risk of lead exposure: Environmental control measures are essential, but education and remediation should follow confirmation of lead exposure and collaboration with public health resources.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "I wish my belly was smaller like the other kids": This statement reflects dissatisfaction with the child’s own body and comparison to peers, which is a direct indicator of negative body image and poor self-perception.
B. "My classmates make fun of me because I ride my bike with training wheels.": This statement reflects social teasing rather than the child’s internal perception of their body, so it indicates social stress but not necessarily negative body image.
C. "I don't know why my peers don't like me.": This reflects feelings of social rejection or low self-esteem but does not specifically indicate dissatisfaction with the child’s body.
D. "I try really hard but can't seem to do anything right.": This statement reflects frustration and low self-efficacy rather than negative body image, as it focuses on performance rather than physical appearance.
Correct Answer is B
Explanation
A. Assess the stoma site monthly to minimize disruption to the client's routine: Stoma assessment should be performed at least daily, especially in pediatric clients, to monitor for changes in color, size, and skin integrity, rather than monthly.
B. Consult the wound-ostomy team for guidance on treating irritated or broken skin around the stoma: Involving a wound-ostomy-continence (WOC) nurse ensures specialized care for peristomal skin breakdown and helps prevent complications, which is essential for maintaining the stoma and surrounding tissue.
C. Change the ostomy appliance daily regardless of the condition of the stoma site: Routine daily changes are unnecessary and can irritate the skin. Appliance changes should be based on the condition of the skin and the integrity of the pouch system.
D. Empty the ostomy's stool output only when the collection appliance is full to capacity: Waiting until the appliance is full can increase the risk of leakage, skin breakdown, and odor. It is recommended to empty the pouch when it is one-third to one-half full.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.