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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A: Performing range of motion on the infant's hips is not appropriate for an infant who has myelomeningocele, which is a type of spina bifida that causes a sac-like protrusion of the spinal cord and nerves through an opening in the spine. Performing range of motion on the infant's hips can cause nerve damage or pain in the lower extremities, which may already be aﬀected by the condition.

Choice B: Taking an axillary temperature is appropriate for an infant who has myelomeningocele, as it is a non-invasive and accurate method of measuring body temperature. An axillary temperature is taken by placing a thermometer under the armpit and holding the arm close to the body. Taking an axillary temperature can help monitor for signs of infection or inﬂammation, which are common complications of myelomeningocele.

Choice C: Placing the infant in a side-lying position is not appropriate for an infant who has myelomeningocele, as it can cause pressure or friction on the sac and increase the risk of rupture or infection. The correct position for an infant with myelomeningocele is prone with hips slightly ﬂexed and legs abducted. This position can prevent trauma and promote drainage from the sac.

Choice D: Maintaining a dry dressing over the sac is not appropriate for an infant who has myelomeningocele, as it can cause irritation or infection of the sac and surrounding skin. The correct dressing for an infant with myelomeningocele is moist and sterile with saline or antibiotic solution. This dressing can prevent drying and cracking of the sac and reduce bacterial growth.

A. "I give my child ibuprofen when his muscles are aching." B. "I am encouraging my child to drink grapefruit juice." C. "I am leaving a humidifier on in my child's room when he naps." D. "I give my child aspirin to reduce his fever."

Correct Answer is D

Explanation

Choice A: Ibuprofen is a nonsteroidal anti-inﬂammatory drug (NSAID) that can be used to relieve pain and inﬂammation in children with inﬂuenza. Ibuprofen does not increase the risk of Reye syndrome, which is a rare but serious condition that affects the brain and liver.

Choice B: Grapefruit juice is a citrus fruit that can provide vitamin C and hydration for children with inﬂuenza. Grapefruit juice does not increase the risk of Reye syndrome, but it can interact with some medications and affect their absorption or metabolism.

Choice C: A humidifier is a device that adds moisture to the air and can help ease congestion and coughing in children with inﬂuenza. A humidifier does not increase the risk of Reye syndrome, but it should be cleaned regularly to prevent bacterial growth and infection.

Choice D: Aspirin is a salicylate that can be used to reduce fever and inﬂammation in children with inﬂuenza. However, aspirin can increase the risk of Reye syndrome, especially in children who have viral infections. Reye syndrome can cause swelling in the brain, liver damage, and even death. Therefore, aspirin should be avoided in children under 19 years old who have inﬂuenza or other viral illnesses.

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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 the administration of this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is orienting a newly licensed nurse in the care of an infant who has myelomeningocele. Which of the following actions by the newly licensed nurse indicates the teaching has been eﬀective?

Correct Answer is B

Explanation

A nurse is caring for a child who has inﬂuenza. The nurse should identify which of the following statements by the parent indicates the child has an increased risk for Reye syndrome.

Correct Answer is D

Explanation

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