A nurse in a community clinic is caring for a 4-year-old child.
Which of the following findings should the nurse identify as long-term complications of elevated lead levels? Select all that apply.
Hearing Findings
Eating History
Behavior Findings
Vital Signs
Speech History
Attention Findings
Correct Answer : A,C,E,F
Choice A - Hearing Findings: Elevated lead levels can affect the auditory system, leading to hearing problems which can be a long-term complication.
Choice B - Eating History: While the child's picky eating behavior was noted, it is not a direct long-term complication of elevated lead levels.
Choice C - Behavior Findings: Lead exposure can result in behavioral issues, including hyperactivity and aggression, which are potential long-term complications.
Choice D - Vital Signs: The vital signs provided do not indicate long-term complications related to lead exposure.
Choice E - Speech History: Developmental delays, including speech delays, can be a long-term complication of elevated lead levels.
Choice F - Attention Findings: Lead exposure can lead to attention-related issues, such as attention deficit hyperactivity disorder (ADHD), which is a long-term complication.
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Related Questions
Correct Answer is D
Explanation
Choice A reason: This statement is incorrect. There is no known interaction between acetaminophen and doxycycline. Patients are generally not advised to avoid acetaminophen while taking doxycycline.
Choice B reason: This statement is incorrect. It is essential for sexual partners to be treated for chlamydia to prevent reinfection and further spread of the infection. Both partners should complete their prescribed medication course.
Choice C reason: This statement is incorrect. While using condoms can reduce the risk of transmitting chlamydia, it is recommended to abstain from sexual activity until the treatment is completed and both partners are cured to prevent the spread of the infection.
Choice D reason: This statement is correct. Doxycycline, a tetracycline antibiotic, can increase the skin's sensitivity to sunlight and the risk of sunburn. Patients taking doxycycline are advised to avoid prolonged sun exposure and tanning beds.
Correct Answer is A
Explanation
Choice A reason: Offering health screenings at a community center is a necessary intervention as it provides accessible healthcare services to migrants who may face barriers to healthcare access.
Choice B reason: Providing health services at work sites can be beneficial, but it is not the only necessary intervention for migrant populations.
Choice C reason: Requiring clients to show a work visa before they receive care can create barriers to accessing healthcare and is not a recommended practice.
Choice D reason: Treating clients on a fee-for-service basis may not be feasible for all migrants, especially those with financial constraints, and does not address the need for accessible healthcare services.
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