A nurse is reviewing the results of laboratory screenings for a 9-month-old infant. Which of the following results should the nurse report to the provider?
Hemoglobin 12 g/dL
Iron 74 mcg/dL
Lead 18 mcg/dL
Hematocrit 35%
The Correct Answer is C
A. A hemoglobin level of 12 g/dL is within the expected range for an infant.
B. An iron level of 74 mcg/dL is normal for a 9-month-old.
C. This is the correct answer. A lead level of 18 mcg/dL is elevated (≥5 mcg/dL is concerning) and should be reported, as lead toxicity can lead to neurological damage.
D. A hematocrit of 35% is within the expected range for an infant.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Asking about body changes is important for understanding the client’s self-perception, but it does not address immediate safety concerns.
B. Inquiring about the duration of feelings of uselessness is helpful for assessing depressive symptoms, but it is not the priority over assessing for suicidal intent.
C. Exploring triggers for these feelings is useful for emotional support and planning interventions but is secondary to assessing for immediate risk of self-harm.
D. This question assesses for suicidal ideation, which is the nurse’s priority because older adults experiencing feelings of uselessness or hopelessness are at higher risk for depression and suicide. Early identification of suicidal thoughts ensures prompt intervention and support.
Correct Answer is D
Explanation
A. Influenza – The first dose of the influenza vaccine is recommended at 6 months, not 2 months.
B. Hepatitis A – Hepatitis A vaccine is typically given at 12-23 months, not at 2 months.
C. Varicella – The varicella (chickenpox) vaccine is given at 12-15 months, so it is not appropriate for a 2-month-old.
D. Rotavirus – This is the correct answer. The rotavirus vaccine is recommended at 2 months, 4 months, and possibly 6 months, depending on the vaccine brand used.
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