章节:The Child with Health Problems Involving Ingestion, Nutrition, or Diet

SC
正确指数:0% 正确的次数:0 错误的次数:1 5242---In an initial screening for lead poisoning, a 2-year-old child is found to have a lead level of 10 mcg/dL (0.48 μmol/L). The nurse should:

Saunders Comprehensive Review for the NCLEX-RN® Examination, 7e (Saunders Comprehensive Review for Nclex-Rn)

1. arrange a follow-up appointment in 6 months.
2. obtain a consultation for chelation therapy.
3. educate parents on ways to reduce lead in the environment.
4. assure the parents this is a normal lead level.

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正确答案:
3. educate parents on ways to reduce lead in the environment.
解释 :
Treatment for children with minimally elevated lead levels should include family lead education, follow-up testing, and a social service consultation if needed. Waiting 6 months for a follow-up screening is too long because the effects of lead are irreversible. Oral chelation therapy is not begun until levels approach 45 mcg/dL (2.2 μmol/L). There is no such thing as a “normal” lead level because there is no beneficial action in the body.