The nurse observes a mother administering ferrous sulfate (iron drops) to her 11-month-old child, followed by 2 ounces (60 mL) of orange juice.
What should be the nurse’s subsequent action?
Advise the mother to follow the iron drops with infant formula instead of orange juice.
Commend the mother on her method of administering the medication.
Propose mixing the iron drops in the orange juice before feeding the infant.
Direct the mother to refrain from feeding the infant for 30 minutes after giving the iron drops.
The Correct Answer is B
Choice A rationale
While infant formula is a common feeding option, it does not enhance the absorption of iron. In fact, iron is better absorbed when taken with vitamin C, which is abundant in orange juice.
Choice B rationale
The mother is correctly administering the iron drops. Giving iron with orange juice can enhance iron absorption due to the vitamin C content.
Choice C rationale
Mixing the iron drops in the orange juice is not necessary and could potentially alter the taste of the juice.
Choice D rationale
There is no need to refrain from feeding the infant for 30 minutes after giving the iron drops.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Chocolate is known to trigger GERD symptoms as it contains caffeine and other stimulants which can cause acid reflux.
Choice B rationale
Sugar cookies are a safe snack choice for individuals with gastroesophageal reflux disease as they are not known to trigger GERD symptoms.
Choice C rationale
Tacos often contain spicy ingredients and high-fat meats, both of which can trigger GERD symptoms.
Choice D rationale
Pizza is typically high in fat and can contain acidic tomato sauce, both of which can trigger GERD symptoms.
Correct Answer is A
Explanation
Choice A rationale
In an infant with aortic stenosis and bilateral fine crackles in both lung fields, hypotension and tachycardia are additional findings that the nurse should expect to observe. Aortic stenosis can lead to decreased cardiac output, which can result in hypotension. The body compensates for this by increasing the heart rate, leading to tachycardia.
Choice B rationale
Vigorous feeding and satiation are not typically associated with aortic stenosis. Infants with aortic stenosis may actually have difficulty feeding due to fatigue.
Choice C rationale
Fever is not a typical symptom of aortic stenosis. If an infant with aortic stenosis has a fever, it may indicate a concurrent infection.
Choice D rationale
Hemiplegia, or paralysis of one side of the body, is not a typical symptom of aortic stenosis. If an infant with aortic stenosis presents with hemiplegia, it may indicate a serious complication such as a stroke.
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