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.

Answer and Explanation

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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Correct Answer is C

Explanation

A. Collecting all urine may be a part of the diagnostic process, but it is not the primary warning associated with Wilms' tumor.

B. Contact precautions are not typically required for Wilms' tumor.

C. The warning "Do not palpate abdomen" is crucial because palpation can potentially disrupt the tumor and cause hemorrhage.

D. No venipuncture or blood pressure in the left arm is not a typical precaution associated with Wilms' tumor. The emphasis is on avoiding abdominal palpation to prevent trauma to the tumor.

A. Tugging on the affected ear lobe B. Pain when manipulating the affected earlobe C. Erythema and edema of the affected ear D. Clear drainage from the affected ear

Correct Answer is A

Explanation

A. Tugging or pulling at the ear is a common sign in children with otitis media and may indicate ear pain.

B. Pain when manipulating the affected earlobe is expected in otitis media due to inflammation and infection of the middle ear.

C. Erythema and edema of the affected ear are typical findings in otitis media, indicating inflammation.

D. Clear drainage is not a typical finding in otitis media. Drainage, if present, is more likely to be purulent or serosanguinous.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A child is admitted with a suspected diagnosis of Wilms’ tumor. The nurse should place a sign with which of the following warnings over the child’s bed?

Correct Answer is C

Explanation

A nurse is caring for a child who has otitis media. Which of the following assessment findings should the nurse expect?

Correct Answer is A

Explanation

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