A nurse in a pediatric clinic is caring for a child who has iron deficiency anemia and is prescribed ferrous sulfate. Which of the following instructions should the nurse provide the parents regarding administration of this medication?
Administer at bedtime.
Give with orange juice.
Administer at mealtimes.
Give with a 240 ml (8 oz) glass of milk.
The Correct Answer is B
Choice A reason: This statement is incorrect because administering iron at bedtime can cause gastrointestinal upset and interfere with the child's sleep. Iron should be given between meals or one hour before meals for better absorption.
Choice B reason: This statement is correct because giving iron with orange juice or other foods rich in vitamin C can enhance iron absorption. Vitamin C helps convert iron into a form that is more easily absorbed by the body.
Choice C reason: This statement is incorrect because administering iron at mealtimes can reduce iron absorption. Iron can bind with certain substances in food, such as calcium, phytates, and tannins, and make it less available for the body.
Choice D reason: This statement is incorrect because giving iron with milk can decrease iron absorption. Milk contains calcium, which can interfere with iron absorption. Milk can also cause nausea and vomiting when taken with iron.
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Related Questions
Correct Answer is ["A","B","D"]
Explanation
Choice A reason: Hemorrhage is a potential issue for a child who has leukemia, as it is a condition that causes excessive bleeding, which can be caused by thrombocytopenia, coagulopathy, or bone marrow suppression. Leukemia can cause a low platelet count, which impairs the blood clotting process and increases the risk of bleeding from minor injuries, mucous membranes, or internal organs.
Choice B reason: Peripheral neuropathy is a potential issue for a child who has leukemia, as it is a condition that affects the nerves, which can be caused by chemotherapy, radiation, infection, or compression. Leukemia can cause nerve damage, which can result in numbness, tingling, pain, or weakness in the extremities, face, or trunk.
Choice C reason: Priapism is not a potential issue for a child who has leukemia, as it is a condition that causes a prolonged and painful erection of the penis, which can be caused by sickle cell disease, medication, trauma, or spinal cord injury. Leukemia does not affect the penis, but it can cause testicular pain, swelling, or masses due to leukemic infiltration.
Choice D reason: Tumor lysis syndrome is a potential issue for a child who has leukemia, as it is a condition that causes a rapid release of cellular contents into the bloodstream, which can be caused by chemotherapy, radiation, or spontaneous tumor breakdown. Tumor lysis syndrome can cause electrolyte imbalance, metabolic acidosis, renal failure, or cardiac arrhythmias.
Correct Answer is A
Explanation
Choice A reason: A child with Hirschsprung disease may need a feeding tube after the surgery to provide adequate nutrition and hydration while the bowel recovers. The parent should express interest in learning how to use and care for the feeding tube, as this indicates an understanding of the teaching.
Choice B reason: A child with Hirschsprung disease will not need a urinary catheter after the surgery, unless there is a specific indication for it. The parent should not confuse the feeding tube with the urinary catheter, as this indicates a lack of understanding of the teaching.
Choice C reason: A child with Hirschsprung disease will not have normal bowel movements immediately after the surgery, as the bowel needs time to heal and adapt. The parent should be aware of the possible complications and follow-up care that the child will need.
Choice D reason: A child with Hirschsprung disease may require a temporary or permanent ostomy, depending on the extent of the bowel affected. The parent should be prepared for either outcome and not assume that the ostomy is only temporary.
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