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. The presence of community members smoking reflects individual lifestyle choices, as smoking is a personal behavior that directly affects health. Observing such behavior can help the nurse identify trends in health practices and target interventions like smoking cessation programs.

B. The presence of a community health clinic represents an available resource for healthcare access, which is a structural or systemic factor rather than an individual lifestyle choice. It reflects the healthcare infrastructure in the area.

C. The presence of a manufacturing facility is related to the economic and environmental conditions of the community. While it may influence occupational health, it is not an indicator of personal health choices made by individuals.

D. The presence of high-speed internet is an infrastructural advantage that may support health education and access to services, but it is not a direct observation of personal health behavior or lifestyle decisions.

A. Identify the client's spoken dialect. B. Document the use of the interpreter. C. Talk directly to the client. D. Contact a qualified medical interpreter.

Correct Answer is D

Explanation

A. Identify the client's spoken dialect: Knowing the specific dialect is important for selecting an appropriate interpreter, but this should be done after securing access to interpretation services. It is a secondary step following the identification of the communication barrier.

B. Document the use of the interpreter: Documentation is a necessary legal and clinical step after care has been provided. It confirms communication occurred appropriately but is not the first priority when initiating communication.

C. Talk directly to the client: While it is respectful and essential to engage with the client directly once interpretation is arranged, doing so without an interpreter risks miscommunication and may compromise informed consent and care quality.

D. Contact a qualified medical interpreter: The first action is to ensure accurate communication by accessing a trained medical interpreter. This ensures the client receives information in a language they understand, which is critical for safe and effective care.

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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)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is conducting a community assessment. Which of the following observations indicate individual lifestyle choices in the community?

Correct Answer is A

Explanation

A nurse in a mobile health clinic is caring for a client who requires an immunization and does not speak the same language as the nurse. Which the following actions should the nurse take first?

Correct Answer is D

Explanation

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