A nurse in a pediatric clinic is caring for a child who has iron deficiency anemia and a new prescription for ferrous sulfate tablets. Which of the following instructions should the nurse provide the parents regarding administration of this medication?

Administer at mealtimes.

Administer at bedtime.

Give with a 240 mL (8 oz) glass of milk.

Give with orange juice.

Answer and Explanation

The Correct Answer is D

A. Administer at mealtimes: While iron supplements can be given with meals to reduce gastrointestinal upset, they are typically better absorbed on an empty stomach. Therefore, giving them at mealtimes may not optimize absorption.

B. Administer at bedtimE. Administering iron supplements at bedtime is not typically recommended unless specifically instructed by a healthcare provider.

C. Give with a 240 mL (8 oz) glass of milk: Milk can decrease the absorption of iron due to its calcium content, so giving iron supplements with milk is not recommended.

D. Give with orange juicE. Vitamin C enhances iron absorption, so giving iron supplements with orange juice is a common practice to improve absorption.

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Correct Answer is A

Explanation

A. "I will give him a pacifier during feeding time.": Giving a pacifier during feeding time may interfere with the infant's ability to coordinate sucking, swallowing, and breathing, especially if

they are receiving nutrition through a nasogastric tube. This response indicates a need for further teaching because pacifiers during feeding time could potentially disrupt the infant's feeding

pattern and may not be appropriate in this situation.

B. "We need to make sure he doesn't lose the desire to eat by mouth.": This response

demonstrates an understanding of the importance of maintaining the infant's oral feeding skills and indicates appropriate knowledge about promoting oral feeding while using a nasogastric

tube.

C. "We need to keep feeding time very quiet.": Keeping feeding time quiet can help reduce distractions and promote a calm environment, which may enhance feeding tolerance for the infant. This response reflects an understanding of strategies to facilitate feeding.

D. "Sucking produces saliva, which aids in digestion.": This response demonstrates knowledge about the benefits of sucking and saliva production during feeding, indicating an understanding of the infant's physiological needs during feeding.

A. "Do you participate in any sports?" B. "Do you play any instruments?" C. "Do you like to do puzzles?" D. "Do you like to construct models?"

Correct Answer is A

Explanation

A. "Do you participate in any sports?": This question directly addresses gross motor skills by inquiring about physical activities that involve large muscle groups and coordination, such as sports.

B. "Do you play any instruments?": While playing musical instruments may involve some coordination and motor skills, it primarily assesses fine motor skills rather than gross motor skills.

C. "Do you like to do puzzles?": Puzzles primarily assess cognitive skills rather than gross motor skills.

D. "Do you like to construct models?": Constructing models also primarily assesses fine motor skills and cognitive abilities rather than gross motor skills.

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A nurse in a pediatric clinic is caring for a child who has iron deficiency anemia and a new prescription for ferrous sulfate tablets. Which of the following instructions should the nurse provide the parents regarding administration of this medication?

Nursing Test Bank

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