A 2-year-old child has a venous blood lead level of 4 µg/dL. Which action should the nurse include in the plan of care?

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Multiple choice — select the best answer

AAdmit the child to the hospital for observation
BAssess the child's nutrition and home environment
CStart oral chelation therapy protocol immediately
DConsult toxicology for urgent medical intervention
EStop monitoring since level is within normal limits

✓ Correct answer: B. Assess the child's nutrition and home environment Levels ≥3.5 µg/dL require nutritional assessment and environmental history to identify lead sources. Chelation starts at ≥45 µg/dL. Elevated levels require monitoring, not discharge.

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A 2-year-old child has a venous blood lead level of 4 µg/dL. Which action should the nurse include in the plan of care?

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