A nurse is talking with a parent of a preschooler. The nurse should identity that which of the following statements made by the parent indicates a risk for lead poisoning in the home? (Select all that apply)

"Our basement has a concrete floor and rock wall.”

"I like to make stained glass window hangings in my free time."

" I often purchase older toys from yard sales for my child to play with."

"We use a space heater in my child's bedroom during the winter months"

"We are finally getting our older home remodelled.”

Answer and Explanation

Correct Answer : B,C,E

A. "Our basement has a concrete floor and rock wall." Concrete and rock structures do not typically pose a risk for lead exposure. Lead is primarily associated with paint, pipes, and certain household dusts in older constructions, not foundational materials like concrete or stone.

B. "I like to make stained glass window hangings in my free time." Stained glass work often involves lead-based solder, which can pose a risk for lead exposure, especially if proper precautions are not taken. Children can be secondarily exposed through contaminated dust brought into the home.

C. "I often purchase older toys from yard sales for my child to play with." Older toys, especially those manufactured before lead safety regulations, may contain lead-based paint. Children are at risk of exposure through chewing or handling these toys.

D. "We use a space heater in my child's bedroom during the winter months" Space heaters are not a known source of lead exposure. While safety precautions are necessary to prevent burns or fires, they do not contribute to lead poisoning risks.

E. "We are finally getting our older home remodeled." Renovation of older homes can disturb lead-based paint and generate contaminated dust. Without proper containment and cleanup, this can significantly increase a child’s risk of lead poisoning.

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Correct Answer is A

Explanation

A. Developing an escape plan: Ensuring the client's immediate safety is the top priority in cases of partner violence. Creating a personalized and practical escape plan can help the client prepare for a quick exit during a dangerous situation, potentially preventing serious harm or fatality.

B. Using stress management techniques: While managing stress is important for mental health, it does not directly address the urgent physical safety needs of someone in an abusive situation. It is better suited for long-term recovery rather than immediate intervention.

C. Identifying a primary support person: Having emotional and logistical support is helpful, but it is a secondary step after ensuring safety. In some cases, reaching out to others without a plan may even increase risk if not done cautiously.

D. Providing referrals for legal counseling: Legal support is essential in the long term to address restraining orders, custody, or separation, but it should follow immediate safety planning. Legal action without safety precautions could escalate the abuse.

A. A client who has undergone radiation therapy within the last 3 years B. A client who has received the bacille Calmette-Guerin vaccine within the last 10 years C. A client who has acquired immune deficiency syndrome D. A client who has lived in a country where tuberculosis is endemic

Correct Answer is B

Explanation

A. A client who has undergone radiation therapy within the last 3 years: Radiation therapy may suppress the immune response, potentially leading to a false-negative rather than a false-positive Mantoux test due to reduced ability to mount a reaction.

B. A client who has received the bacille Calmette-Guerin vaccine within the last 10 years: The BCG vaccine can cause a false-positive Mantoux result because the vaccine uses a strain of Mycobacterium bovis, which can trigger a reaction similar to TB exposure in skin testing.

C. A client who has acquired immune deficiency syndrome: Clients with AIDS are immunocompromised, which increases the likelihood of a false-negative Mantoux result, as their immune systems may not respond sufficiently to the test.

D. A client who has lived in a country where tuberculosis is endemic: This client is at higher risk for true TB exposure, and a positive result is more likely to reflect actual infection rather than a false-positive reaction.

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A nurse is talking with a parent of a preschooler. The nurse should identity that which of the following statements made by the parent indicates a risk for lead poisoning in the home? (Select all that apply)

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Naxlex Comprehensive Predictor Exams

A nurse in a community health center is counseling a group of clients who are currently experiencing partner violence. Which of the following strategies is the priority for the nurse to include in the counseling?

Correct Answer is A

Explanation

A nurse manager is providing teaching to a newly licensed nurse about Mantoux testing. Which of the following clients should the nurse manager include as an example of a client who might manifest a false-positive reading?

Correct Answer is B

Explanation

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