RN Nursing · Health Promotion and Disease Prevention · Practice question
A nurse is talking with a parent of a preschooler. The nurse should identify that which of the following statements made by the parent indicates a risk for lead poisoning in the home? (Select all that apply.)
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✓
“I often purchase older toys from yard sales for my child to play with."
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“We are finally getting our older home remodeled."
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“We use a space heater in my child's bedroom during the winter months."
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✓
"I like to make stained glass window hangings in my free time."
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"Our basement has a concrete floor and rock walls."
Answer & explanation
Correct: “I often purchase older toys from yard sales for my child to play with." · “We are finally getting our older home remodeled." · "I like to make stained glass window hangings in my free time."
Lead poisoning in preschoolers is a significant community health concern because children in this age group are especially vulnerable to lead's neurotoxic effects. Purchasing older toys from yard sales is a risk because toys manufactured before 1978 may contain lead-based paint, and children frequently mouth objects. Remodeling an older home is a well-established risk because homes built before 1978 often contain lead-based paint; renovation activities disturb painted surfaces and generate lead-containing dust that young children can inhale or ingest. Making stained glass window hangings is a risk because solder used in stained glass work contains lead, and residue on hands and surfaces can contaminate the home environment, particularly hazardous for young children. Using a space heater in a child's bedroom does not introduce lead into the environment; space heaters pose fire and carbon monoxide risks but are not associated with lead exposure. A basement with a concrete floor and rock walls is similarly not a recognized source of lead contamination; such construction materials do not contain lead. Therefore, the three statements that indicate risk are the older toy purchases, the home remodeling project, and the stained glass hobby, and the keyed answer is confirmed as correct.
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