Which principle should the nurse teach the parent concerning administering liquid iron preparations to the child with iron-deficiency anemia?

Allow the preparation to mix with saliva and bathe the teeth before swallowing.

Administer in the bottle of formula.

Warm the medication before administering.

Administer between meals.

Answer and Explanation

The Correct Answer is D

A. Allow the preparation to mix with saliva and bathe the teeth before swallowing: Iron can stain teeth; using a straw or dropper and rinsing the mouth after administration is recommended.

B. Administer in the bottle of formula: Mixing with milk/formula reduces absorption due to calcium content.

C. Warm the medication before administering: There’s no benefit to warming, and it could affect stability.

D. Administer between meals: Iron is best absorbed on an empty stomach and in an acidic environment, so administering between meals enhances absorption.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Coarctation of the aorta: This condition involves narrowing of the aorta, usually after the vessels that supply the upper body. This leads to higher blood pressure in the arms and lower in the legs.

B. Hypoplastic left heart syndrome: This defect involves underdevelopment of the left side of the heart, leading to systemic hypoperfusion, not blood pressure discrepancies between limbs.

C. Tetralogy of Fallot: This is a cyanotic defect with right-to-left shunting and does not cause significant arm-leg BP discrepancies.

D. Patent ductus arteriosus: PDA causes left-to-right shunting but generally does not lead to higher arm than leg blood pressure.

A. Heart rate decreases from 110 to 100 beats/minute B. "Quiet chest" from previous assessment of wheezing C. Oxygen saturation of 90% D. Respiration rate decreases from 40 to 32 breaths/minute

Correct Answer is B

Explanation

A. Heart rate decreases from 110 to 100 beats/minute: A small drop within normal HR range is not alarming unless associated with other symptoms.

B. "Quiet chest" from previous assessment of wheezing: This is a red flag in RSV. A sudden decrease in wheezing or breath sounds may indicate impending respiratory failure due to fatigue or poor air entry.

C. Oxygen saturation of 90%: While low, this is a common finding in RSV and typically managed with supplemental oxygen. It’s important but not the most urgent.

D. Respiration rate decreases from 40 to 32 breaths/minute: This may indicate improvement or fatigue; context matters. However, it is less critical than absent breath sounds.

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Which principle should the nurse teach the parent concerning administering liquid iron preparations to the child with iron-deficiency anemia?

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