A nurse is planning care for a toddler who has a serum lead level of 4 mcg/dL. which of

the following actions should the nurse plan to take?

A- Instruct the parents to decrease the calcium in their toddler's diet

B- prepare the toddler for chelation therapy

C- referat the family to Child Protective Services

D- schedule the toddler for a yearly rescreening

Answer- d

The nurse should schedule the toddler for a lead level rescreening in 1 year and educate the

family on ways to prevent exposure.

A- The nurse should instruct the toddler's parents to provide a diet rich in calcium because

calcium, vitamin C, and iron decrease lead absorption.

B- Chelation therapy is required for a lead level of 45 mcg/dL or greater and, depending on

the situation, can be initiated for lead levels over 10 mcg/dL.

C- A serum lead level of 4 mcg/dL does not require a report to Child Protective Services

because it is not an indicator of child endangerment.

A nurse is assessing a school-age child immediately post-operative following a perforated

appendix repair. Which of the following findings should the nurse expect?

A- Purulent nasogastric drainage

B- absence of peristalsis

C- passage of dark red stool with mucus

D- WBC of 6000

Answer- b

The nurse should expect absence of peristalsis in the immediate postoperative period, until

the bowel resumes functioning.

A- Purulent drainage is not an expected finding postoperatively. Clear to green-tinged is the

expected color of the drainage from the NG tube.

C- Passage of dark red stool with mucus is not an expected finding immediately

postoperative. This finding is a clinical manifestation of Meckel diverticulum.

D- This level is below the expected reference range. A WBC greater than 10,000/mm3 is an

expected finding in a client who has had a ruptured appendix.

A nurse is teaching the parents of a toddler who has cognitive impairment about toilet

training. which of the following instructions should the nurse include in the teaching?

A- Scold the child when he has a toileting accident

B- award the child with a sticker when he sits on the potty chair

C- play the child favorite song while teaching him to use the potty chair

D- teach multiple steps of the skill at the same time

Answer- b

The child with a cognitive impairment learns through shaping behaviors. The parents should

reward the child for sitting on the potty chair as a reinforcement of the desired behavior of