What is an important nursing consideration when a child is ...

[SO00]

What is an important nursing consideration when a child is hospitalized for chelation therapy to treat lead poisoning?
 
  a. Maintain bed rest.
  b. Maintain isolation precautions.
  c. Keep an accurate record of intake and output.
  d. Institute measures to prevent skeletal fracture.

Question 2

What is a significant secondary prevention nursing activity for lead poisoning?
 
  a. Chelation therapy
  b. Screening children for blood lead levels
  c. Removing lead-based paint from older homes
  d. Questioning parents about ethnic remedies containing lead

[canderson530]

Answer to Question 1

ANS: C
The iron chelates are excreted though the kidneys. Adequate hydration is essential. Periodic measurement of renal function is done. Bed rest is not necessary. Often the chelation therapy is done on an outpatient basis. Chelation therapy is not infectious or dangerous. Isolation is not indicated. Skeletal weakness does not result from high levels of lead.

Answer to Question 2

ANS: B
Screening children for lead poisoning is an important secondary prevention activity. Screening does not prevent the initial exposure of the child to lead. It can lead to identification and treatment of children who are exposed. Chelation therapy is treatment, not prevention. Removing lead-based paints from older homes before children are affected is primary prevention. Questioning parents about ethnic remedies containing lead is part of the assessment to determine the potential source of lead.

[SO00]

Excellent

[mcabuhat]

TYSM