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."

Answer and Explanation

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.

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Correct Answer is B

Explanation

Formula: Dosage (mg) = Weight (kg) × Dosage per kg.

30 kg × 0.2 mg/kg = 6 mg

A. Severe cyanosis B. Machine-like murmur C. Decreased blood pressure in the legs D. Pulmonary edema

Correct Answer is C

Explanation

A. Severe cyanosis: More typical of cyanotic congenital heart defects, not coarctation of the aorta, which is an acyanotic defect.

B. Machine-like murmur: Characteristic of patent ductus arteriosus (PDA), not coarctation of the aorta.

C. Decreased blood pressure in the legs: Classic finding in coarctation of the aorta due to narrowed aortic arch restricting blood flow to the lower body.

D. Pulmonary edema: Possible in severe cases but not a primary or expected manifestation.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A pediatric nurse is calculating a child's medication dosage. The child weighs 30 kilograms and the prescribed dosage is 0.2 milligrams per kilogram. How many milligrams of medication should the nurse administer to the child?

Correct Answer is B

Explanation

A nurse is collecting data from an infant who has coarctation of the aorta. Which of the following manifestations should the nurse expect?

Correct Answer is C

Explanation

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