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. Provide a structured activity schedule for the client: While providing a structured activity schedule can be beneficial for clients with OCD, it may not be the first action the nurse should take. Before implementing such a schedule, it is essential to understand the underlying factors contributing to the client's ritualistic behaviors.

B. Identify precipitating factors for ritualistic behaviors: This is the first action the nurse should take when caring for a client with OCD. By identifying the triggers or precipitating factors that lead to the client's ritualistic behaviors, the nurse can develop a targeted plan of care to address these specific triggers and help the client manage their symptoms more effectively.

C. Instruct the client on relaxation techniques for use when anxiety increases: While relaxation techniques can be helpful for managing anxiety associated with OCD, identifying precipitating factors should be addressed first to understand the specific triggers contributing to the client's anxiety and ritualistic behaviors.

D. Discuss alternative coping strategies with the client: Exploring alternative coping strategies is an important aspect of caring for clients with OCD, but it should come after identifying precipitating factors. Once triggers are identified, the nurse and client can collaboratively develop and implement alternative coping strategies tailored to the client's specific needs and triggers.

A. "You are being unreasonable, and I will not call your doctor at this hour."

This response may escalate the situation by invalidating the client's feelings and refusing to address their request. It fails to recognize the client's distress and could lead to increased agitation or frustration.

B. "I can't call a doctor in the middle of the night unless it's an emergency."

While it's true that non-urgent matters may be deferred until regular hours, this response comes across as dismissive and may exacerbate the client's distress. It does not validate the client's feelings or offer support.

C. "You must be very upset about something."

This response acknowledges the client's emotions and shows empathy. It opens the door for the client to express their concerns, allowing the nurse to assess the situation further and address any immediate needs. It also avoids dismissing the client's request outright and maintains a therapeutic relationship.

D. "Go back to your room, and I'll try to get in touch with your doctor."

This response instructs the client to return to their room without addressing their emotional state or concerns. It lacks empathy and fails to engage with the client's needs effectively.