A nurse is reinforcing teaching to the parent of a child who has a prescription for liquid oral iron supplements. Which of the following statements by the parent indicates an understanding of the teaching?
"I should give the iron with milk to help prevent stomach upset."
"My child should avoid eating citrus fruits while taking the supplements."
"I should take my child to the emergency room if his stool becomes dark."
"My child should take the supplement through a straw."
The Correct Answer is D
A. "I should give the iron with milk to help prevent stomach upset.": Milk should not be given with iron supplements as it can decrease the absorption of iron. Vitamin C is often recommended with iron to enhance absorption.
B. "My child should avoid eating citrus fruits while taking the supplements.": Citrus fruits, which are high in vitamin C, actually help increase the absorption of iron, so they should not be avoided.
C. "I should take my child to the emergency room if his stool becomes dark.": Dark stools are a common and harmless side effect of iron supplementation due to unabsorbed iron, so this is not an emergency situation.
D. "My child should take the supplement through a straw.": Liquid iron supplements can stain the teeth. To avoid this, it is recommended to give the supplement through a straw to minimize contact with the teeth.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Upright: In an upright position, gravity helps expand the lungs, allowing for maximal ventilation and improved oxygenation. This position helps the diaphragm move downward and increases lung volume, making it easier to breathe.
B. Side-lying: Side-lying positions may be helpful in certain situations, such as in cases of aspiration pneumonia, but they do not provide the best lung expansion for respiratory failure.
C. Supine: Lying flat on the back can increase the work of breathing and make it harder for the lungs to fully expand, especially in a child with respiratory distress.
D. Prone: The prone position is sometimes used in cases of acute respiratory distress syndrome (ARDS) in adults, but it is not commonly recommended for children with pneumonia unless specifically ordered by the healthcare provider.
Correct Answer is C
Explanation
A. Hoarseness: Hoarseness is a common symptom of croup and is usually not an immediate concern unless accompanied by other severe symptoms.
B. Barky cough: A barky cough is characteristic of croup and is not an indication of immediate concern unless it worsens.
C. Drooling: Drooling can be a sign of respiratory distress and difficulty swallowing, which can indicate a worsening condition such as epiglottitis, a more serious infection that can occur with croup. Drooling is a red flag and requires immediate medical attention.
D. Paroxysmal attacks of laryngeal spasm at night: Paroxysmal attacks (episodes of severe coughing or difficulty breathing) are typical of croup, especially at night, but are usually self-limited and not an immediate cause for concern unless severe.
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