A nurse is assessing a child with iron deficiency anemia. Which of the following is NOT an expected finding?

Increased appetite

Pallor

Tachycardia

Brittle spoon-shaped nails

Answer and Explanation

The Correct Answer is A

A. Increased appetite is not an expected finding in a child with iron deficiency anemia. Children with iron deficiency anemia typically experience a reduced appetite or may develop pica (craving non-food substances) rather than an increased appetite.

B. Pallor is a common sign of iron deficiency anemia, as a lack of iron reduces the number of red blood cells and the amount of hemoglobin, leading to pale skin and mucous membranes.

C. Tachycardia is a compensatory response to anemia, as the heart works harder to deliver oxygen to tissues due to a reduced capacity of the blood to carry oxygen.

D. Brittle spoon-shaped nails (koilonychia) are a classic physical finding in iron deficiency anemia, caused by the reduced oxygen delivery to the nails and skin.

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Correct Answer is A

Explanation

A. Obtain IV access. Obtaining IV access is a good precaution in case the client requires emergency medication (e.g., anticonvulsants) to control seizures. This is part of preparing for seizure management.

B. Keep a padded tongue blade available at the client's bedside. This is an outdated practice. The nurse should never insert a tongue blade into a patient's mouth during a seizure as it can cause injury.

C. Keep the lights on when the client is sleeping. There is no need to keep the lights on, as it may disturb the client’s rest. A calm, quiet environment is preferred, and seizure precautions are more related to safety and monitoring than lighting.

D. Place the client's bed in the high position. This increases the risk of injury in the event of a seizure. The bed should be in a low position with side rails up to prevent injury.

A. Crush the iron supplement and mix it with applesauce. B. Administer the iron supplement with a glass of milk. C. Discontinue and contact provider if client's stools become a tarry green color. D. Administer the iron supplement with a vitamin C-rich drink.

Correct Answer is D

Explanation

A. Crushing iron supplements and mixing them with applesauce may make the medication easier to take, but it does not directly improve absorption. In fact, crushing tablets could alter the formulation and absorption, especially if the iron supplement is enteric-coated.

B. Administering iron with a glass of milk can actually inhibit absorption because calcium, which is found in milk, can interfere with the absorption of iron.

C. While tarry green stools are a common side effect of iron supplements, this is not a reason to discontinue the medication unless instructed by the healthcare provider.

D. This is the correct answer. Vitamin C enhances the absorption of iron. Administering the supplement with a vitamin C-rich drink, such as orange juice, helps maximize iron absorption from the gastrointestinal tract.

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A nurse is assessing a child with iron deficiency anemia. Which of the following is NOT an expected finding?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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