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.
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Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is A
Explanation
Choice A reason: A child who has rheumatic fever is a suitable roommate for a child who has leukemia, as rheumatic fever is not a contagious condition, and it does not pose any risk of infection or cross-reaction to the child who has leukemia. Rheumatic fever is an inflammatory disease that can affect the heart, joints, skin, and brain, and it is caused by a delayed immune response to a streptococcal infection.
Choice B reason: A child recovering from a ruptured appendix is not a suitable roommate for a child who has leukemia, as a ruptured appendix can cause peritonitis, which is a serious infection of the abdominal cavity, and it can be a source of bacteria or fungi that can spread to the child who has leukemia. A child who has leukemia has a compromised immune system and is susceptible to infections.
Choice C reason: A child who has nephrotic syndrome is not a suitable roommate for a child who has leukemia, as nephrotic syndrome can cause edema, proteinuria, hypoalbuminemia, and hyperlipidemia, and it can be associated with infections, allergies, or autoimmune disorders that can affect the child who has leukemia. A child who has leukemia has a reduced number of blood cells and is prone to bleeding, anemia, and infections.
Choice D reason: A child who has cystic fibrosis is not a suitable roommate for a child who has leukemia, as cystic fibrosis is a genetic disorder that affects the lungs, pancreas, liver, and intestines, and it can cause chronic respiratory infections, malabsorption, and diabetes, which can compromise the health of the child who has leukemia. A child who has leukemia has a weakened immune system and is vulnerable to infections.
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