A nurse in a pediatric clinic is caring for a child who has iron deficiency anemia and is prescribed ferrous sulfate. Which of the following instructions should the nurse provide the parents regarding administration of this medication?
Administer at bedtime.
Give with orange juice.
Administer at mealtimes.
Give with a 240 ml (8 oz) glass of milk.
The Correct Answer is B
Choice A reason: This statement is incorrect because administering iron at bedtime can cause gastrointestinal upset and interfere with the child's sleep. Iron should be given between meals or one hour before meals for better absorption.
Choice B reason: This statement is correct because giving iron with orange juice or other foods rich in vitamin C can enhance iron absorption. Vitamin C helps convert iron into a form that is more easily absorbed by the body.
Choice C reason: This statement is incorrect because administering iron at mealtimes can reduce iron absorption. Iron can bind with certain substances in food, such as calcium, phytates, and tannins, and make it less available for the body.
Choice D reason: This statement is incorrect because giving iron with milk can decrease iron absorption. Milk contains calcium, which can interfere with iron absorption. Milk can also cause nausea and vomiting when taken with iron.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Administering antibiotic therapy is an anticipated prescription for the client, as it can treat the possible bacterial infection that is causing the fever, anorexia, and shortness of breath. The client may have developed infective endocarditis, a serious condition that affects the heart valves and can lead to heart failure or stroke. Antibiotic therapy can help prevent further complications and reduce the risk of mortality.
Choice B reason: Obtaining an echocardiogram is an anticipated prescription for the client, as it can help diagnose the presence and severity of infective endocarditis. An echocardiogram is a noninvasive test that uses sound waves to create images of the heart and its structures. It can show if there is any damage to the heart valves, vegetation (clumps of bacteria and cells) on the valves, or signs of heart failure.
Choice C reason: Obtaining blood cultures x3 is an anticipated prescription for the client, as it can help identify the causative organism of the infection and guide the appropriate antibiotic therapy. Blood cultures are samples of blood that are taken from different sites and times and tested for the presence of bacteria or other microorganisms. They can confirm the diagnosis of infective endocarditis and determine the sensitivity and resistance of the bacteria to different antibiotics.
Choice D reason: Restricting dental hygiene is a contraindicated prescription for the client, as it can worsen the oral health and increase the risk of infection. Dental hygiene is important for preventing plaque and tartar buildup, which can harbor bacteria and cause dental caries, gingivitis, or periodontitis. These conditions can increase the risk of bacteremia (bacteria in the blood) and infective endocarditis. The nurse should teach the client to maintain good oral hygiene and use a soft-bristled toothbrush and gentle flossing.
Choice E reason: Performing a strenuous exercise regimen twice a day is a contraindicated prescription for the client, as it can increase the cardiac workload and exacerbate the symptoms of infective endocarditis. Strenuous exercise can cause tachycardia (fast heart rate), dyspnea (difficulty breathing), chest pain, and fatigue, which can worsen the condition of the heart and the valves. The nurse should advise the client to avoid strenuous exercise and limit physical activity to a level that does not cause symptoms.
Correct Answer is A
Explanation
Choice A reason: Applying heat to a bleeding site is not recommended for a child who has hemophilia, as it can increase blood flow and worsen the bleeding. The nurse should teach the parent to apply cold compresses instead.
Choice B reason: Having the child rest is a correct action, as it can reduce the movement of the affected part and prevent further injury or bleeding.
Choice C reason: Compressing the site is a correct action, as it can help stop the bleeding and form a clot. The nurse should teach the parent to apply firm and direct pressure to the site with a clean cloth or bandage.
Choice D reason: Elevating the affected part is a correct action, as it can reduce the swelling and pain caused by the bleeding. The nurse should teach the parent to elevate the part above the level of the heart.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today