The nurse is conducting a physical examination of a toddler with suspected lead poisoning. Lab results indicate blood lead level 52 ?g/dL. Which action would the nurse expect to happen next?
A) Repeat testing within 2 days and prepare to begin chelation therapy as ordered
B) Repeat testing within 1 week with education to decrease lead exposure
C) Confirm with repeat testing in 1 month and referral to local health department
D) Prepare to admit child to begin chelation therapy
A
Feedback:
The American Academy of Pediatrics' recommendation for blood lead levels of 45 to 69 ?g/dL is to confirm with repeat lab within 2 days and begin chelation therapy. The nurse should also expect to refer to the local health department for investigation of home lead reduction. Lead levels greater than 70 ?g/dL require immediate hospitalization. Repeat testing in 1 month and education would be appropriate for levels between 15 and 19 ?g/dL. Repeat testing in 1 week with parent education is appropriate for lead levels between 20 and 44 ?g/dL.
You might also like to view...
A student nurse was anxious about making home visits and suggested the same tasks could be accomplished if the family met the student and instructor at the outreach clinic
in the client's neighborhood. "No," replied the instructor, "What is home nursing?" A. "The client will be the hostess who has to be polite and nice at all times since the nurse is the visitor." B. "The nurse goes to the client rather than the client going to the nurse." C. "You don't have to keep such detailed nurse's notes when visiting in the home." D. "You can use the client's equipment and supplies rather than the hospital's."
There is an increasing trend for nursing care to move from the hospital setting into the community. Nurses who are to provide excellent care in a community setting should prioritize which of the following?
A) Integrating culture and family into the planning and delivery of care B) Becoming more assertive in client education and the planning of client care C) Encouraging clients to limit their interactions with physicians D) Teaching clients to replace biomedical interventions with complementary therapies
A woman has been diagnosed with compartment IV primary amenorrhea. What assessments would the healthcare professional perform as priorities?
a. Weight and body mass index b. Signs of systemic infection c. Stress self-assessment questionnaire d. Genetic family history e. Presence of secondary sex characteristics
The intraoperative nurse is caring for a patient in the maintenance phase of anesthesia. Which actions should the nurse prepare to provide to the patient at this time? Select all that apply.
A. Measure blood pressure and heart rate. B. Position the patient for the surgical procedure. C. Participate in the surgical procedure. D. Assess oxygen saturation level. E. Prepare the skin.