American Nurses Credentialing Center (ANCC) Practice Exam 2025 – Comprehensive All-in-One Guide for Exam Success!

When a lead level of 16 mcg/dL is identified in a patient, the most appropriate immediate action is to closely observe for signs of diminished reflexes. Lead exposure can have serious neurotoxic effects, particularly in children. It is known to affect neurological function and can lead to cognitive impairments, behavioral issues, and a range of physical symptoms, including those that impact reflexes.

Monitoring for diminished reflexes is crucial as it may indicate the extent of lead toxicity and potential neurological impairment. By observing the patient regularly for such signs, the nurse practitioner can determine if immediate intervention is necessary or if further testing is warranted.

While other interventions, such as dietary modifications or increases in iron, may be valid considerations for addressing lead exposure and its effects, they do not directly respond to the immediate concern of assessing the patient's neurological status following a concerning lead level. Similarly, consulting with a physical therapist may be appropriate later on, depending on the patient’s condition, but it does not address the immediate clinical need for assessment of potential lead-related neurological issues. Hence, prioritizing observation for neurological signs is critical for ensuring timely and appropriate care.