A child is in the clinic to follow up on a blood lead level of 7 µg/dL. What action by the nurse is best?
A.
Call social work or Child Protective Services to evaluate home safety.
B.
Instruct parents to have the child re-tested at the beginning of the school year.
C.
Reassure parents that this is below the threshold for lead poisoning.
D.
Teach parents to wet-mop surfaces instead of vacuuming the house.
ANS: D
The CDC has set the upper limit for blood lead at 5 µg/dL. This child's level is higher, and the child may need specific treatment. The parents will have to be taught ways to eliminate lead in the house. One suggestion is to wet-mop surfaces instead of vacuuming, because the vacuum spreads lead dust. Calling social work or Child Protective Services at this point is premature. The parents need to take some sort of action now, and not just have the child tested at a later date.
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