A nurse participating in lead screening at a community center.
The nurse should instruct parents to bring their children back for rescreening in a year for which of the following laboratory values?
10 mcg/dL
18 mcg/dL
4 mcg/dL
44 mcg/dL.
The Correct Answer is C
The correct answer is choice C.
Choice A rationale:
A lead level of 10 mcg/dL is above the CDC’s reference value of 3.5 mcg/dL and would require more immediate follow-up and intervention, not just rescreening in one year.
Choice B rationale:
A lead level of 18 mcg/dL is significantly elevated and would necessitate immediate medical intervention and frequent monitoring, rather than waiting a year for rescreening.
Choice C rationale:
A lead level of 4 mcg/dL is slightly above the CDC’s reference value of 3.5 mcg/dL. While it is concerning, it may be appropriate to rescreen in one year if no other risk factors are present.
Choice D rationale:
A lead level of 44 mcg/dL is dangerously high and requires urgent medical treatment and frequent follow-up, not just rescreening in one year.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
a.While involving mental health professionals can be part of a broader intervention plan, it is not the immediate priority in cases of suspected abuse. The nurse must first address the immediate safety concerns and follow the required reporting procedures.
b.Separating the child from the parents without proper authority or immediate threat can escalate the situation and may not be legally permissible. This action should be taken by authorities with the legal power to do so if deemed necessary.
c.Nurses are mandated reporters, which means they are legally required to report any suspected child abuse to the appropriate authorities immediately. This action ensures that the child’s safety is prioritized and that a proper investigation can be initiated however,obtaining a detailed history is the priority.
d.When a nurse observes several bruises on a child, the initial action should be toobtain a detailed history. This step allows the nurse to gather information about the circumstances surrounding the bruises, assess for any potential signs of abuse, and determine the most appropriate course of action.
Correct Answer is A
Explanation
Adolescents affected by scoliosis often experience body image dissatisfaction.
Therefore, the nurse should anticipate body image changes as the most common reaction.
Choice B is not correct because loss of privacy is not the most common reaction
when dealing with scoliosis surgery.
Choice C is not correct because feelings of displacement are not the most
common reaction when dealing with scoliosis surgery.
Choice D is not correct because identity crisis is not the most common reaction
when dealing with scoliosis surgery.
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