A nurse in a pediatric clinic is caring for a child who has iron deficiency anemia and a new prescription for ferrous sulfate tablets. Which of the following instructions should the nurse provide the parents regarding administration of this medication?
Administer at mealtimes.
Administer at bedtime.
Give with a 240 mL (8 oz) glass of milk.
Give with orange juice.
The Correct Answer is D
A. Administer at mealtimes is incorrect. Taking iron supplements with food can decrease absorption. It is best to take them on an empty stomach if possible, but if gastrointestinal upset occurs, the medication can be taken with food.
B. Administer at bedtime is incorrect. Iron supplements are generally not recommended to be taken at bedtime due to potential gastrointestinal upset that might disturb sleep.
C. Give with a 240 mL (8 oz) glass of milk is incorrect. Milk can reduce the absorption of iron, so it is not recommended to take ferrous sulfate with milk.
D. Give with orange juice is correct. Vitamin C (found in orange juice) enhances the absorption of iron, so it is a good choice to help increase the effectiveness of the supplement.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Giving a toddler adult vitamins may lead to excessive intake of certain nutrients and is not recommended without consulting a healthcare provider.
B. Quality of food is crucial for toddlers, as they have small stomachs. Providing nutrient-dense foods ensures that they receive essential vitamins and minerals.
C. The average daily caloric intake for a toddler is considerably less than 3,000 calories. This statement reflects a misunderstanding of a toddler's nutritional needs.
D. Toddlers typically have unpredictable appetites. While they may go through phases of increased appetite, it is not a consistent expectation. The emphasis should be on providing a balanced and nutritious diet.
Correct Answer is A
Explanation
A. Irritability is a common behavioral manifestation of dehydration in infants and children.
B. Dehydration typically results in a rapid, weak pulse, not a slow, bounding pulse.
C. Dehydration can cause an elevated temperature rather than a decreased temperature.
D. Tetany is more associated with electrolyte imbalances such as hypocalcemia, which can occur with severe dehydration, but irritability is a more common early sign.
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