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 B
Explanation
Choice A reason: A 13% weight loss is not a finding of severe dehydration, but rather of moderate dehydration. Severe dehydration is characterized by a weight loss of more than 15%.
Choice B reason: A rapid pulse is a finding of severe dehydration, as the body tries to compensate for the fluid loss and maintain the blood pressure.
Choice C reason: A bulging anterior fontanel is not a finding of severe dehydration, but rather of increased intracranial pressure. A sunken anterior fontanel is a sign of severe dehydration, as the brain tissue loses water and shrinks.
Choice D reason: Moist mucous membranes are not a finding of severe dehydration, but rather of normal hydration. Dry mucous membranes are a sign of severe dehydration, as the body loses water and electrolytes.
Choice E reason: Decreased urine output is a finding of severe dehydration, as the kidneys try to conserve water and produce less urine. This can lead to renal failure if not corrected.
Correct Answer is B
Explanation
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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