A nurse is teaching a parent about administration of iron ...

[go.lag]

A nurse is teaching a parent about administration of iron supplements to a 7-month-old infant. Which should the nurse include in the teaching session? (Select all that apply.)
 
  a. Administer the iron supplement with a dropper toward the side and to the back of the mouth
  b. Administer the iron supplement with feedings.
  c. Your infant's stools may look tarry green.
  d. Your infant may have some diarrhea initially.
  e. Follow the iron supplement with 4 ounces of juice.

Question 2

The clinic is lending a federally approved car seat to an infant's family. The nurse should explain that the safest place to put the car seat is:
 
  a. front facing in back seat.
  b. rear facing in back seat.
  c. front facing in front seat with airbag on passenger side.
  d. rear facing in front seat if an air bag is on the passenger side.

[yuyiding]

Answer to Question 1

ANS: A, C, E
Liquid iron supplements may stain the teeth; therefore, administer them with a dropper toward the back of the mouth (side). Ideally, iron supplements should be administered between meals for greater absorption. Avoid administration of liquid iron supplements with whole cow's milk or milk products because they bind free iron and prevent absorption. Educate parents that iron supplements will turn stools black or tarry green. Iron supplements may cause transient constipation, not diarrhea. In older children, follow liquid iron supplement with a citrus fruit or juice drink (no more than 3 to 4 oz).

Answer to Question 2

ANS: B
The rear-facing car seat provides the best protection for an infant's disproportionately heavy head and weak neck. The middle of the back seat is the safest position for the child. The infant must be rear facing to protect the head and neck in the event of an accident. Severe injuries and deaths in children have occurred from air bags deploying on impact in the front passenger seat.