A nurse is assessing a toddler who has a history of lead poisoning. Which of the following actions should the nurse take?

Perform developmental testing for delays.

Initiate a low-iron diet for lead absorption.

Obtain a stool specimen for lead levels.

Inspect the skin for discoloration.

Answer and Explanation

The Correct Answer is A

A. Toddlers with a history of lead poisoning are at risk for developmental delays.
Developmental testing can help identify any delays that may require intervention or support.

B. Lead absorption is not related to iron intake. However, a diet rich in iron can help reduce the absorption of lead.

C. Blood testing, not stool testing, is the primary method for assessing lead levels. Blood lead levels provide the most accurate information about lead exposure.

D. While lead poisoning can cause changes in skin color in severe cases, it is not the primary assessment for lead exposure. Blood lead levels and developmental testing are more indicative of lead poisoning.

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Correct Answer is D

Explanation

A. Toddlers with phenylketonuria (PKU) need to limit their intake of phenylalanine, an amino acid found in protein. Therefore, the toddler's protein consumption should be carefully controlled and monitored.

B. Foods high in iron do not need to be specifically limited for a child with PKU. Iron-rich foods are important for overall health and should be included in the diet.

C. Aspartame contains phenylalanine and should be avoided by individuals with PKU. PKU is a metabolic disorder that impairs the body's ability to break down phenylalanine, so it is important to limit phenylalanine intake.

D. This is correct. Foods containing milk products should be avoided, as they are a source of phenylalanine and can contribute to an excessive intake of this amino acid in a child with PKU. Instead, specialized medical foods low in phenylalanine are recommended.

A. Increased expectoration B. Increased urine output C. Increased heart rate D. Reduced pain

Correct Answer is A

Explanation

A. Increased expectoration (coughing up mucus) indicates that the chest physiotherapy treatments have been effective in helping to clear the airways of mucus, which is a common goal in managing cystic fibrosis.

B. Increased urine output is not a direct indicator of the effectiveness of chest physiotherapy in managing cystic fibrosis.

C. Increased heart rate is not a specific indicator of the effectiveness of chest physiotherapy in managing cystic fibrosis. In fact, an increased heart rate may indicate stress or discomfort.

D. Reduced pain is a positive outcome but may not be directly related to the effectiveness of chest physiotherapy in managing cystic fibrosis. The primary goal of chest physiotherapy is to improve airway clearance.

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A nurse is assessing a toddler who has a history of lead poisoning. Which of the following actions should the nurse take?

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