A parent of a toddler asks how to reduce lead exposure in an older home. Which instruction should the nurse include?
1Let the child play near window wells to build immunity.
2Use hot tap water for formula because it dissolves minerals.
3Dry-sand peeling paint before the child wakes up.
4Wet-clean dust and arrange professional evaluation of peeling paint.✓ Correct answer
Explanation
Lead exposure can come from old paint dust and contaminated surfaces. Wet-cleaning dust and arranging proper evaluation or remediation reduce exposure. Dry sanding spreads dust, window wells may collect contaminated paint dust, and hot tap water can increase metal leaching.
Clinical Judgment Use the client cues, timing, labs, and safety risks to select the response that best fits Toddler lead exposure prevention.
Memory Tip Match the strongest cue cluster to the safest nursing judgment.
KR vs US NCLEX items reward cue-based priority thinking rather than isolated recall.
Clinical Practice GuideFor Toddler lead exposure prevention, compare the complete cue pattern with the client's current stability, ordered data, and expected nursing scope.
CautionDo not choose an action from one isolated cue when the full scenario changes priority or safety.
Lead Exposure — Contact with lead that can harm neurologic development, especially in children.
Wet-Cleaning — Cleaning method that reduces dust dispersal.
Peeling Paint — A common source of lead dust in older homes.