A child is admitted to the hospital with a diagnosis of lead ...

[OSWALD]

A child is admitted to the hospital with a diagnosis of lead poisoning. Which should be included in the home assessment to determine the probable source of the lead poisoning?
 
  1. The home's foundation for a possible radon leak
  2. The home's water pipes
  3. The dirt surrounding the house
  4. The presence of imported toys or antique baby furniture
  5. Gas stored in cans in the garage.

Question 2

A child is brought to the emergency department in a coma. The mother thinks the child may have ingested a poison. Which will the nurse assess based on this information? Select all that apply.
 
  1. For oral burns
  2. The child's breath
  3. The child's vomitus
  4. Hair samples
  5. Blood and urine toxicology screens

[xiaomengxian]

Answer to Question 1

2, 3, 4
Explanation:
1. Radon is not a source of lead.
2. Older water pipes were made from lead, which leaches out into the water.
3. Children who eat dirt may acquire lead poisoning due to contamination with fumes from lead gas.
4. Toys imported from other countries and old furniture may have lead paint. The child can be exposed if the child puts these objects in the mouth.
5. Most gas is now not lead based. If the child were to drink the gas from the cans, the problem would be the hydrocarbons, not the lead.

Answer to Question 2

1, 2, 3, 5
Explanation:
1. Corrosives often leave evidence of burns on the mouth and gums.
2. The breath may have characteristic odors that may help identify the poison.
3. The vomitus may contain leaves, indicating the child has eaten a plant or other items that may provide information on the toxin.
4. Hair samples can be used to test drug use over a period of time. It would not contain any valuable information for this child.
5. These tests will look for a wide variety of toxins.