The nurse observes a mother giving her 11-month-old ferrous sulfate (iron drops), followed by 2 ounces (60 mL) of orange juice. What should the nurse do next?

Suggest placing the iron drops in the orange juice and then feeding the infant.

Give the mother positive feedback about the way she administered the medication.

Instruct the mother to feed the infant nothing for 30 minutes after giving the iron drops.

Tell the mother to follow the iron drops with infant formula instead of orange juice.

Answer and Explanation

The Correct Answer is B

The nurse should give the mother positive feedback about the way she administered the medication. Giving the infant orange juice after administering the iron drops is a good practice because vitamin C in the orange juice can enhance the absorption of iron. The other options (A, C, and D) are not appropriate actions for the nurse to take in this situation.

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Correct Answer is A

Explanation

To prevent recurrence of otitis media in their infant. Exposure to secondhand smoke has been identified as a risk factor for recurrent otitis media.

B. While it is important to monitor the infant's ears for signs of infection, daily inspection alone is not sufficient to prevent recurrence of otitis media.

C. The prone position after feeding is not recommended for infants due to the risk of choking and aspiration, and it is not a preventive measure for otitis media.

D. While breastfeeding is associated with a reduced risk of otitis media, frequent breastfeeding alone is not sufficient to prevent recurrence of the condition.

A. Potassium. B. Chloride. C. Sodium. D. Calcium.

Correct Answer is D

Explanation

Hypoparathyroidism is a disorder in which the parathyroid glands produce insufficient amounts of parathyroid hormone, which regulates calcium and phosphorus levels in the body. In hypoparathyroidism, there is a decreased level of calcium in the blood, which can result in carpal spasm or tetany when pressure is applied to the upper arm.

Therefore, the nurse should review the child's calcium level (D) to determine if it is within the normal range. Low calcium levels can cause muscle spasms, seizures, and cardiac arrhythmias. Hypocalcemia may also result in other symptoms such as numbness, tingling, and muscle cramps.

Potassium (A), chloride (B), and sodium (C) are electrolytes that play important roles in various physiological processes in the body, but they are not directly related to the development of carpal spasm in a child with hypoparathyroidism. While hypokalemia (low potassium) or hyponatremia (low sodium) can cause muscle weakness or cramps, these conditions are not typically associated with carpal spasm in hypoparathyroidism.

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The nurse observes a mother giving her 11-month-old ferrous sulfate (iron drops), followed by 2 ounces (60 mL) of orange juice. What should the nurse do next?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing education to parents about preventing otitis media recurrence in their infant. Which instruction should the nurse include?

Correct Answer is A

Explanation

The nurse is caring for a child with hypoparathyroidism who demonstrates a carpal spasm when pressure is applied to the upper arm. Which laboratory value should the nurse review?

Correct Answer is D

Explanation

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