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?
Increased urinary output
Anorexia
Jaundice
Diarrhea
The Correct Answer is B
A. Increased urinary output: Acute lead poisoning typically does not lead to increased urinary output. Instead, lead toxicity can affect renal function, potentially leading to kidney damage and decreased urinary output or even renal failure in severe cases.
B. Anorexia: Acute lead poisoning can lead to gastrointestinal symptoms such as abdominal pain, nausea, and vomiting, which can result in decreased appetite or anorexia. Lead poisoning affects multiple organ systems, including the gastrointestinal tract, leading to symptoms like abdominal pain and gastrointestinal upset. Anorexia is a common manifestation in individuals, including toddlers, with acute lead poisoning due to these gastrointestinal symptoms.
C. Jaundice: Jaundice is not a typical finding in acute lead poisoning. Jaundice typically occurs when there is an accumulation of bilirubin in the blood, which can be caused by liver dysfunction or obstruction of the bile ducts. Lead poisoning primarily affects the central nervous system, hematopoietic system, and gastrointestinal system rather than the liver.
D. Diarrhea: While gastrointestinal symptoms such as abdominal pain, nausea, and vomiting can occur in acute lead poisoning, diarrhea is not a characteristic symptom. Lead poisoning can cause constipation rather than diarrhea due to its effects on the gastrointestinal tract, such as slowing peristalsis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. 3 months:
By 3 months of age, infants typically experience rapid growth, but their birth weight usually does not double by this time. Infants usually gain weight at a steady rate during the first few months of life, but doubling birth weight typically occurs later in infancy.
B. 9 months:
By 9 months of age, infants continue to grow and develop, but their birth weight usually doubles before this age. While infants may have more than doubled their birth weight by 9 months, it's generally expected to occur earlier in infancy.
C. 6 months:
Correct. Birth weight typically doubles by around 6 months of age. This milestone reflects the rapid growth and development that occurs during the first half-year of life. By 6 months, infants have typically established feeding routines and experienced significant weight gain since birth.
D. 12 months:
By 12 months of age, infants have completed their first year of life, and their growth and development continue at a slightly slower pace compared to earlier months. Doubling birth weight usually occurs earlier, around 6 months, rather than by 12 months.
Correct Answer is ["90"]
Explanation
Answer:
below 90 beats per minute (bpm)
Rationale:
For infants, especially those receiving digoxin, the heart rate is a critical parameter to monitor due to the medication's potential to affect cardiac function.
The general guideline for withholding digoxin in infants is if the apical heart rate is below 90 beats per minute (bpm) in infants. Therefore, the nurse should withhold the dose if the infant's apical heart rate is less than 90 bpm.
It's important to note that specific institutional protocols may vary, so nurses should always adhere to the guidelines established by their facility. Additionally, if the infant's heart rate is below the threshold, the nurse should promptly notify the healthcare provider for further evaluation and guidance.
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