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 C

Explanation

A. Ignoring temper tantrums may not be effective in all situations. Some toddlers may escalate their behavior if they feel ignored.

B. Explicitly telling the child that temper tantrums are not acceptable may not be as effective in managing the behavior. Toddlers may not fully understand or respond well to verbal reasoning.

C. Distracting the child with a different activity, such as playing a game, can redirect their attention and help diffuse the situation.

D. Physical restraint is not an appropriate or effective method for managing temper tantrums. It can lead to increased resistance and may cause harm to the child.

A. "As a nurse, I am required by law to report suspected child abuse." B. "I reported the incident to my supervisor who decided to contact the authorities." C. "I am unable to discuss this, but I can contact my supervisor to speak with you." D. "The provider will be coming to explain the situation."

Correct Answer is A

Explanation

A. Nurses are mandated reporters of child abuse, and informing the parent about the legal obligation to report is appropriate and transparent.

B. Reporting to a supervisor does not relieve the nurse of the responsibility to directly report suspected child abuse to the appropriate authorities.

C. While the nurse should be empathetic, the legal obligation to report takes precedence over discussing details with the parent.

D. In situations of suspected child abuse, it is the responsibility of the nurse, not the provider, to make the initial report.

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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

Naxlex Comprehensive Predictor Exams

A parent of a toddler asks a nurse at a well-child visit how the child's frequent temper tantrums can best be handled. Which of the following actions should the nurse suggest to the parent?

Correct Answer is C

Explanation

A nurse reports an incident of suspected child abuse. One of the parents of the child becomes upset and demands to know the reason for the nurse's action. Which of the following responses by the nurse is appropriate?

Correct Answer is A

Explanation

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