A nurse is assessing a toddler who has a history of lead poisoning.
Which of the following actions should the nurse take?
Obtain a stool specimen for lead levels
Initiate a low-iron diet for lead absorption
Perform developmental testing for delays
Inspect the skin for discoloration
The Correct Answer is C
Question 1: The correct answer is Choice c. Perform developmental testing for delays.
Lead poisoning can lead to cognitive, behavioral, and developmental impairments, making developmental testing crucial for assessing potential delays and planning interventions. Developmental testing allows healthcare providers to identify any areas of concern early on, enabling them to implement appropriate interventions to support the child's development and mitigate the effects of lead poisoning.
Choice A rationale: Obtaining a stool specimen for lead levels is not the appropriate action in this scenario. Lead poisoning is typically assessed through blood lead levels, not stool specimens. Stool specimens are more commonly used for assessing gastrointestinal issues or infections rather than lead levels.
Choice B rationale: Initiating a low-iron diet for lead absorption is not recommended. Iron deficiency can actually increase lead absorption in the body, so reducing iron intake could potentially exacerbate the issue. Instead, ensuring an adequate intake of iron-rich foods may be beneficial for overall health but is not a primary intervention for lead poisoning.
Choice D rationale: Inspecting the skin for discoloration is not a relevant action for assessing lead poisoning. While lead poisoning can manifest in various symptoms, skin discoloration is not typically associated with lead exposure. Other signs and symptoms such as cognitive, behavioral, and developmental impairments are more indicative of lead poisoning.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Initiating bleeding precautions is an important action when caring for a child with acute lymphocytic leukemia. These patients are at increased risk of bleeding due to decreased platelet counts.
Choice B rationale
Placing the child in a knee-chest position is not typically necessary in the care of a child with acute lymphocytic leukemia.
Choice C rationale
Applying viscous lidocaine to the oral mucosa is not typically necessary in the care of a child with acute lymphocytic leukemia.
Choice D rationale
Obtaining a rectal temperature every 4 hours is not typically necessary in the care of a child with acute lymphocytic leukemia. However, regular monitoring of the child’s temperature is important to detect any signs of infection.
Correct Answer is A
Explanation
Choice A rationale
An allergy to neomycin is a contraindication for receiving the measles, mumps, rubella (MMR) vaccine. Neomycin is an antibiotic that is used in some vaccines, including the MMR vaccine, to prevent bacterial contamination during the vaccine’s production. If a child has a known allergy to neomycin, they should not
receive the MMR vaccine because they could have a severe allergic reaction.
Choice B rationale
An upper respiratory infection 2 days ago is not a contraindication for receiving the MMR vaccine. While it’s generally recommended to wait until a child is healthy to give them a vaccine, a mild illness like a cold or upper respiratory infection usually isn’t a reason to delay vaccination.
Choice C rationale
A temperature of 37.2°C (99°F) is not a contraindication for receiving the MMR vaccine. This temperature is within the normal range and does not indicate a fever or illness that would prevent vaccination.
Choice D rationale
A family history of seizures is not a contraindication for receiving the MMR vaccine. While febrile seizures can occur in some children after receiving the MMR vaccine, they are rare and are not more likely to occur in children with a family history of seizures.
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