A nurse is assessing a toddler who has suspected lead poisoning. Which of the following findings should the nurse expect the client to manifest with acute lead poisoning?

A. "You should get a psychological consult for the temper tantrums." This statement may cause unnecessary concern for the parents. Temper tantrums are a common behavior in toddlers and typically do not require a psychological consult unless they are severe, persistent, or accompanied by other concerning behaviors.

B. "You should leave the room while the tantrum is happening." Leaving the room while the tantrum is occurring may not be the most effective approach. It's important for parents to provide comfort and support to their toddler during a tantrum, while also setting appropriate limits and boundaries.

C. "Temper tantrums are a type of learning disability." Temper tantrums are not indicative of a learning disability. They are a normal part of development and occur as toddlers learn to express their emotions and navigate their environment.

D. "Temper tantrums are the toddler's attempt to gain control of a situation." This statement is accurate. Temper tantrums often occur when toddlers feel frustrated, overwhelmed, or unable to express their needs effectively. Tantrums are a way for toddlers to assert their independence and gain control over their environment. Understanding this can help parents respond to tantrums with patience and empathy, while also setting appropriate limits and teaching coping strategies.

A. Using frequent touch to provide client support: While touch can be comforting for some clients, individuals with schizophrenia, especially those experiencing paranoid delusions, may interpret touch as threatening or intrusive. Therefore, using frequent touch may exacerbate the client's paranoia and increase their distress.

B. Directly telling the client that delusions are not real: Directly challenging the client's delusions may cause them to become defensive or agitated. It is unlikely to be effective in changing the client's beliefs and may damage the therapeutic relationship. Instead, the nurse should use therapeutic communication techniques to explore the client's perceptions and validate their feelings while gently offering alternative perspectives.

C. Limiting the number of questions asked during assessments: Individuals experiencing frequent hallucinations and paranoid delusions may have difficulty concentrating and processing information. Limiting the number of questions asked during assessments reduces cognitive overload and helps prevent overwhelming the client. The nurse should prioritize asking clear, concise questions relevant to the client's immediate needs.

D. Placing the client in seclusion if visual hallucinations are present: Seclusion should only be used as a last resort and when absolutely necessary to ensure the safety of the client or others. It is not an appropriate intervention for managing hallucinations alone. Instead, the nurse should employ therapeutic communication techniques, provide a safe and supportive environment, and use prescribed medications as indicated to manage the client's symptoms.