A nurse at a pediatrician’s office answers a phone call from a parent whose child just ingested 15 vitamin tablets with added ferrous sulfate.

Which of the following instructions should the nurse give to the parent?

Administer syrup of ipecac.

Give the child 120 mL (8 oz) of orange juice.

Contact the poison control center.

Provide the child with a high-carbohydrate snack.

Answer and Explanation

The Correct Answer is C

Choice A rationale
Administering syrup of ipecac is not recommended in cases of iron overdose. Ipecac was once used to induce vomiting in cases of poisoning, but it is no longer recommended due to potential complications and lack of evidence for effectiveness.
Choice B rationale
Giving the child orange juice will not help in this situation. While vitamin C can enhance iron absorption, it does not have an effect on iron that has already been absorbed into the body.
Choice C rationale
Contacting the poison control center is the appropriate action. They can provide immediate advice on what to do in cases of potential iron overdose.
Choice D rationale
Providing a high-carbohydrate snack will not help in this situation. It will not affect the absorption or toxicity of the iron.

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Correct Answer is B

Explanation

Choice A rationale
It’s not advisable to follow the directions on the aspirin bottle for her age and weight. Aspirin is not recommended for use in children due to the risk of Reye’s syndrome, a rare but serious condition that can affect the liver and brain.
Choice B rationale
This is the correct response. Acetaminophen is a safer alternative to aspirin for managing fever in children.
Choice C rationale
While it’s generally a good idea to administer medication with food to prevent stomach upset, this advice does not address the specific risks associated with giving aspirin to a toddler.
Choice D rationale
Giving a toddler three baby aspirin every 4 hours is not recommended due to the risk of Reye’s syndrome.

A. Lime ice pop B. Cranberry juice C. Ice cream D. Apple juice

Correct Answer is A

Explanation

Choice A rationale
An orange ice pop is a good choice because it is cold and soothing for the throat, and it is also clear liquid which is usually recommended after tonsillectomy.
Choice B rationale
Cranberry juice is not the best choice because it is acidic and can cause discomfort to the surgical site.
Choice C rationale
Ice cream is not recommended immediately after surgery because dairy products can increase mucus production which can lead to coughing and discomfort.
Choice D rationale
Apple juice is not the best choice because it is acidic and can cause discomfort to the surgical site.

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A nurse at a pediatrician’s office answers a phone call from a parent whose child just ingested 15 vitamin tablets with added ferrous sulfate. Which of the following instructions should the nurse give to the parent?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse at a pediatric hotline receives a call from a mother who plans to administer aspirin to a toddler for a fever and wants to know the dosage. Which of the following statements by the nurse is an appropriate response?

Correct Answer is B

Explanation

A nurse is caring for a client who is postoperative immediately following a tonsillectomy. Which of the following snacks should the nurse offer the client?

Correct Answer is A

Explanation

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A nurse at a pediatrician’s office answers a phone call from a parent whose child just ingested 15 vitamin tablets with added ferrous sulfate.

Which of the following instructions should the nurse give to the parent?