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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A rationale
Recognizing most letters and numbers is a skill typically developed around the age of 4 or 5, not at 3 years old.
Choice B rationale
Using 1-word sentences is a milestone typically reached by the age of 2. By 3 years old, children are usually able to speak in simple sentences with four or more words.
Choice C rationale
Speaking in simple sentences with four or more words is a typical language skill for a 3-year-old child.
Choice D rationale
Using gestures with 1 to 2-word sentences is a milestone typically reached by the age of 2. By 3 years old, children are usually able to speak in simple sentences with four or more words.

A. Chickenpox. B. Mumps. C. Sore throat. D. Influenza.

Correct Answer is C

Explanation

Choice A rationale
Chickenpox is a viral infection that can cause a fever and rash. However, it is not typically associated with the development of acute rheumatic fever. Acute rheumatic fever is an inflammatory disease that can develop when strep throat or scarlet fever isn’t properly treated.
Choice B rationale
Mumps is a viral infection that causes swelling of the salivary glands. Like chickenpox, it is not typically associated with the development of acute rheumatic fever.
Choice C rationale
A recent history of sore throat is significant because acute rheumatic fever can develop as a complication of an untreated strep throat infection. Strep throat is caused by group A Streptococcus bacteria, which can trigger an immune response leading to rheumatic fever if not treated properly.
Choice D rationale
Influenza, or the flu, is a viral infection that can cause a range of symptoms, including fever, cough, and body aches. However, it is not typically associated with the development of acute rheumatic fever.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing the growth and development of a 3-year-old child. Which speech and language skills should the nurse identify as normal developmental milestones for this child?

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Correct Answer is C

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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?