A nurse is educating the parents of a child who has iron deficiency anemia and is taking iron supplements. Which statement by the parents indicates they understand the teaching?

The medication should be administered in one large dose every day.

Our child’s blood count will need to be monitored routinely for several weeks.

The medication will be more effective if it is administered with meals.

Restricting fiber from our child’s diet will help absorption of the iron.

Answer and Explanation

The Correct Answer is B

Choice A rationale
Iron supplements should not be administered in one large dose every day. High doses can cause side effects such as nausea, vomiting, diarrhea, constipation, and dark stools.
Choice B rationale
Monitoring blood count routinely for several weeks is necessary when a child is taking iron supplements for iron deficiency anemia. This helps to ensure that the supplement is effective and that iron levels are being restored to a healthy range.
Choice C rationale
Iron supplements are not necessarily more effective if administered with meals. In fact, some studies suggest that taking iron supplements with food might decrease the amount of iron absorbed.
Choice D rationale
Restricting fiber from a child’s diet will not necessarily help with the absorption of iron. In fact, a balanced diet, including fiber, is important for overall health.

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Correct Answer is A

Explanation

Choice A rationale
Acute rheumatic fever is a complication that can occur after an infection with group A streptococcus, which causes strep throat and sometimes scarlet fever. The most common symptoms of rheumatic fever include fever, painful and tender joints, pain in the chest, fatigue, fast heart rate, palpitations, and multiple-joint inflammation. Therefore, asking if the child has had a sore throat recently is relevant as it could indicate a recent strep throat infection, which is a common precursor to acute rheumatic fever.
Choice B rationale
While injuries can lead to various health complications, they are not directly related to the development of acute rheumatic fever. Acute rheumatic fever is primarily caused by an overreaction of the body’s immune system to a strep throat or scarlet fever infection.
Therefore, recent injuries would not typically be a relevant factor in a suspected case of acute rheumatic fever.
Choice C rationale
Acute rheumatic fever is not a congenital condition, meaning it is not present from birth. It develops as a complication of strep throat or scarlet fever. Therefore, asking if the child was born with a cardiac defect would not typically be relevant in a suspected case of acute rheumatic fever.
Choice D rationale
While aspirin is often used in the treatment of rheumatic fever to reduce inflammation and pain, it is not a cause of the condition. Therefore, asking if the child has been given aspirin in the past 2 weeks would not typically be relevant in a suspected case of acute rheumatic fever.

A. Reduced fetal oxygen supply B. Delayed cervical dilation C. Prolonged labor D. Increased maternal stress.

Correct Answer is B

Explanation

Choice A rationale
While reduced fetal oxygen supply can occur with hypertonic contractions and inadequate uterine relaxation, it’s not the primary adverse effect. The main concern is the impact on the progress of labor.
Choice B rationale
This is the correct answer. Inadequate uterine relaxation between hypertonic contractions can delay cervical dilation, slowing the progress of labor.
Choice C rationale
Prolonged labor is not typically associated with hypertonic contractions and inadequate uterine relaxation. In fact, these conditions can lead to a more rapid labor.
Choice D rationale
Increased maternal stress can occur with any labor complication, but it’s not the primary adverse effect of hypertonic contractions and inadequate uterine relaxation.

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A nurse is educating the parents of a child who has iron deficiency anemia and is taking iron supplements. Which statement by the parents indicates they understand the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is obtaining a health history from a child who has suspected acute rheumatic fever. Which of the following Questions should the nurse ask?

Correct Answer is A

Explanation

A nurse is caring for a client in labor who is experiencing incomplete uterine relaxation between hypertonic contractions. What adverse effect does the nurse recognize as a result of this contraction pattern?

Correct Answer is B

Explanation

A nurse is providing care for a client who is in preterm labor at 32 weeks of gestation. Which medication should the nurse expect the provider to prescribe to accelerate fetal lung maturity?

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