The nurse is conducting a physical examination of a toddler with suspected lead poisoning. Lab results indicate blood lead levels of 45 to 69 mcg/dL. What action would the nurse expect to take as ordered?
A) Confirm with a repeat lab test within 2 days, begin chelation therapy as ordered, and refer to health department.
B) Confirm with a repeat lab test within 1 week, educate the parents about decreasing lead exposure, and refer to health department.
C) Confirm with a repeat lab test in 1 month and educate the parents about decreasing lead exposure.
D) Prepare to admit the child and begin chelation therapy.
A
Response:
The American Academy of Pediatrics recommendation for blood lead levels of 45 to 69 mcg/dL is to confirm with a repeat lab test within 2 days and begin chelation therapy. The nurse should also expect to refer the case to the local heath department for investigation of home lead reduction. Lead levels greater than 70 mcg/dL require immediate hospitalization. The other recommendations are for ranges 15 to 19 mcg/dL and 20 to 44 mcg/dL.
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