When administering oral iron supplements to a client with anemia, which nursing action is most important to ensure optimal absorption of the medication?

Crush the iron supplement and mix it with applesauce.

Administer the iron supplement with a glass of milk.

Discontinue and contact provider if client's stools become a tarry green color.

Administer the iron supplement with a vitamin C-rich drink.

Answer and Explanation

The Correct Answer is D

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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Correct Answer is B

Explanation

A. No venipuncture or blood pressure in left arm is incorrect. This is not a standard warning for a child with Wilms' tumor. The concern for venipuncture or blood pressure typically involves conditions like a dialysis access or a limb at risk, but it is not specific to Wilms' tumor.

B. Do not palpate abdomen is correct. Wilms' tumor, a type of kidney cancer, can be palpated in the abdomen. However, palpating the tumor may increase the risk of spreading cancerous cells or causing trauma to the tumor site, so it is crucial to avoid palpation.

C. Collect all urine is incorrect. While urine collection may be necessary for diagnostic testing, it is not a specific warning related to Wilms' tumor. This would be standard for other renal conditions but not directly related to Wilms' tumor.

D. Contact precautions is incorrect. While contact precautions may be required for infections, Wilms' tumor itself does not require contact precautions unless there is an associated infection.

A. Nausea B. Hair loss C. Diarrhea D. Skin Sensitivity E. Weight gain

Correct Answer is ["A","B","C","D"]

Explanation

A. Nausea is a common side effect of both chemotherapy and radiation therapy. Antiemetics are often used to manage this adverse effect.

B. Hair loss is a well-known side effect of chemotherapy, as it affects rapidly dividing cells, including those in hair follicles. Radiation therapy to the head or neck area can also cause localized hair loss.

C. Diarrhea is a potential side effect of chemotherapy and radiation, particularly when the digestive tract is affected. Some chemotherapies and radiation treatments irritate the gastrointestinal system, leading to diarrhea.

D. Skin Sensitivity can result from radiation therapy, especially in the treated area. The skin may become red, irritated, and sensitive.

E. Weight gain is not typically associated with chemotherapy or radiation therapy. In fact, many children experience weight loss due to nausea, decreased appetite, or other side effects.

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When administering oral iron supplements to a client with anemia, which nursing action is most important to ensure optimal absorption of the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A child is admitted with a suspected diagnosis of Wilms' tumor. The nurse should place a sign with which of the following warnings over the child's bed?

Correct Answer is B

Explanation

A nurse is creating a plan of care for a pediatric client who has been diagnosed with osteosarcoma and will be receiving chemotherapy with radiation interventions. The nurse should monitor the client for which of the following expected adverse effects? (Select All that Apply.)

Correct Answer is ["A","B","C","D"]

Explanation

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