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 the administration of this medication?
Iron (Ferrous Sulfate) may turn stools tarry green.
Administer at bedtime.
Give with a 240 mL (8 oz) glass of milk.
Administer at mealtimes.
The Correct Answer is A
Choice A: This instruction is correct, as iron supplements can cause a change in the color and consistency of stools, making them dark, green, or black. This is not a sign of bleeding or infection, but a normal side effect of iron therapy. The parents should be informed of this possibility and reassured that it is harmless.
Choice B: This instruction is incorrect, as iron supplements should not be administered at bedtime, but rather one hour before or two hours after meals. This is because iron absorption is reduced by food, especially dairy products, antacids, or calcium supplements. The parents should be instructed to give the medication on an empty stomach or with a small amount of food if it causes nausea.
Choice C: This instruction is incorrect, as iron supplements should not be given with milk, as milk contains calcium, which can interfere with iron absorption and reduce its effectiveness. The parents should be instructed to avoid giving milk or other dairy products within two hours of the medication.
Choice D: This instruction is incorrect, as iron supplements should not be administered at mealtimes, but rather one hour before or two hours after meals. This is because iron absorption is reduced by food, especially dairy products, antacids, or calcium supplements. The parents should be instructed to give the medication on an empty stomach or with a small amount of food if it causes nausea.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A: Body image changes are the most common reaction for an adolescent who has scoliosis and requires surgical intervention, as scoliosis affects the appearance and shape of the spine and torso. Body image changes can lead to low self-esteem, social isolation, depression, or anxiety.
Choice B: Feelings of displacement are not the most common reaction for an adolescent who has scoliosis and requires surgical intervention, as displacement means feeling out of place or unwanted in a certain situation or environment. Feelings of displacement can occur due to hospitalization, separation from peers or family, or lack of control over one's life.
Choice C: Loss of privacy is not the most common reaction for an adolescent who has scoliosis and requires surgical intervention, as loss of privacy means having one's personal information or space exposed or invaded by others. Loss of privacy can occur due to frequent examinations, procedures, or interventions by health care providers or staff.
Choice D: Identity crisis is not the most common reaction for an adolescent who has scoliosis and requires surgical intervention, as identity crisis means having difficulty or confusion in defining one's self-concept or role in society. Identity crises can occur due to developmental changes, peer pressure, or cultural expectations.
Correct Answer is ["A","C","E"]
Explanation
Choice A: Allowing the child to keep a toy from home with her can help reduce her fear and anxiety by providing comfort, distraction, and familiarity. This strategy can also enhance the child's sense of control and autonomy by letting her choose what toy to bring.
Choice B: Using mummy restraints during painful procedures can increase the child's fear and anxiety by making her feel trapped, helpless, and powerless. This strategy can also damage the child's trust and cooperation with the nurse and cause psychological trauma.
Choice C: Having a parent stay with the child during procedures can help reduce her fear and anxiety by providing support, reassurance, and security. This strategy can also enhance the child's coping skills and resilience by modeling calm and positive behaviors.
Choice D: Planning invasive procedures whenever possible can increase the child's fear and anxiety by exposing her to unnecessary pain and discomfort. This strategy can also impair the child's physical and emotional development by causing stress and inflammation.
Choice E: Performing the procedure as quickly as possible can help reduce her fear and anxiety by minimizing the duration and intensity of pain. This strategy can also enhance the child's satisfaction and compliance by showing respect and empathy.
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