# A parent of a toddler asks how to reduce lead exposure in an older home. Which instruction should the nurse include?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=397343&lang=en  
> language: en  
> subject: Health Promotion/Disease Prevention  
> category: HPM

## Question

A parent of a toddler asks how to reduce lead exposure in an older home. Which instruction should the nurse include?

## Option

1. Dry-sand peeling paint before the child wakes up.
2. Let the child play near window wells to build immunity.
3. Use hot tap water for formula because it dissolves minerals.
4. Wet-clean dust and arrange professional evaluation of peeling paint. **✔ Correct answer**

**Correct answer: 4**

## 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.

## In-depth explanation

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 scenario

Clinical Practice Guide
For Toddler lead exposure prevention, compare the complete cue pattern with the client's current stability, ordered data, and expected nursing scope.

Caution
Do not choose an action from one isolated cue when the full scenario changes priority or safety.

## Key concepts

- **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.

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