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 B
Explanation
Choice A reason: Half-strength orange juice is not a good choice for the infant, as it is acidic and may irritate the gastrointestinal tract. It also does not provide adequate calories or nutrition for the infant.
Choice B reason: Half-strength infant formula is a suitable choice for the infant, as it is bland and easy to digest. It also provides some calories and nutrition for the infant, who may have lost fluids and electrolytes due to the intussusception.
Choice C reason: Full-strength apple juice is not a good choice for the infant, as it is high in sugar and may cause diarrhea. It also does not provide adequate calories or nutrition for the infant.
Choice D reason: Full-strength chicken broth is not a good choice for the infant, as it is high in sodium and may cause dehydration. It also does not provide adequate calories or nutrition for the infant..
Correct Answer is B
Explanation
Choice A reason: Water is not the best choice for a child who has acute gastroenteritis, as it does not contain the electrolytes and glucose that are lost through vomiting and diarrhea. Water alone can also dilute the blood sodium level and cause hyponatremia.
Choice B reason: Oral rehydration solution is the best choice for a child who has acute gastroenteritis, as it contains the optimal balance of electrolytes and glucose to prevent dehydration and electrolyte imbalance. It also helps to restore the intestinal function and prevent acidosis.
Choice C reason: Diluted apple juice is not the best choice for a child who has acute gastroenteritis, as it contains too much sugar and not enough sodium. This can worsen the diarrhea and cause hyperglycemia and hyperosmolar dehydration.
Choice D reason: Milk is not the best choice for a child who has acute gastroenteritis, as it can aggravate the intestinal inflammation and cause lactose intolerance. Milk can also increase the risk of bacterial infection and septicemia.
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