A nurse is conducting a physical examination of a 5-year-old with ...

[09madisonrousseau09]

A nurse is conducting a physical examination of a 5-year-old with suspected iron deficiency anemia. How would the nurse evaluate for changes in neurological functioning?
 
  A) Please open your mouth; I'm going to look at your cheeks and lips.
  B) Do you have any bruises on your feet or shins?
  C) Will you please walk across the room for me?
  D) Let me see the palms of your hands and soles of your feet.

Question 2

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.

[atrochim]

Answer to Question 1

C
Response:
Neurological effects of iron deficiency may be demonstrated when the child's ability to sit, stand, and walk is impaired. The other questions are looking for evidence of petechiae, purpura, or pallor.

Answer to Question 2

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.

[09madisonrousseau09]

Thank you

[atrochim]

No problemo