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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is D
Explanation
A. Feelings of displacement may occur, but the most common reaction involves concerns related to body image changes.
B. An identity crisis is less common in the context of scoliosis surgery, where body image and self-esteem issues are more prevalent.
C. Loss of privacy is a concern with surgical interventions, but it may not be the most common reaction.
D. Adolescents with scoliosis often experience body image changes due to the visible effects of the condition and the surgical intervention. Anticipating and addressing these concerns is an essential aspect of nursing care.
Correct Answer is C
Explanation
A. Collecting all urine may be a part of the diagnostic process, but it is not the primary warning associated with Wilms' tumor.
B. Contact precautions are not typically required for Wilms' tumor.
C. The warning "Do not palpate abdomen" is crucial because palpation can potentially disrupt the tumor and cause hemorrhage.
D. No venipuncture or blood pressure in the left arm is not a typical precaution associated with Wilms' tumor. The emphasis is on avoiding abdominal palpation to prevent trauma to the tumor.
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