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 is incorrect. Taking iron supplements with food can decrease absorption. It is best to take them on an empty stomach if possible, but if gastrointestinal upset occurs, the medication can be taken with food.

B. Administer at bedtime is incorrect. Iron supplements are generally not recommended to be taken at bedtime due to potential gastrointestinal upset that might disturb sleep.

C. Give with a 240 mL (8 oz) glass of milk is incorrect. Milk can reduce the absorption of iron, so it is not recommended to take ferrous sulfate with milk.

D. Give with orange juice is correct. Vitamin C (found in orange juice) enhances the absorption of iron, so it is a good choice to help increase the effectiveness of the supplement.

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Correct Answer is A

Explanation

A. Irritability is a common behavioral manifestation of dehydration in infants and children.

B. Dehydration typically results in a rapid, weak pulse, not a slow, bounding pulse.

C. Dehydration can cause an elevated temperature rather than a decreased temperature.

D. Tetany is more associated with electrolyte imbalances such as hypocalcemia, which can occur with severe dehydration, but irritability is a more common early sign.

A. A 1-year-old toddler who has roseola and a temperature of 39° C (102.2° F) B. A 7-year-old child who has diabetes insipidus and a urine specific gravity of 1.016 C. A 10-year-old child who has sickle cell anemia who reports severe chest pain D. A 4-year-old child who has asthma and a PCO2 of 37 mm Hg

Correct Answer is C

Explanation

A. Elevated temperature in a toddler with roseola is generally self-limiting and not immediately life-threatening.

B. A urine specific gravity of 1.016 in a 7-year-old with diabetes insipidus indicates a dilute urine concentration and is not an acute priority.

C. Sickle cell anemia can lead to vaso-occlusive crises, and severe chest pain could suggest a potential life-threatening complication such as acute chest syndrome. This requires immediate attention.

D. A PCO2 level of 37 mm Hg in a 4-year-old with asthma, while indicating respiratory distress, may not be as urgently life-threatening as severe chest pain in a child with sickle cell anemia.

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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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