A nurse receives a call from a parent concerned their toddler ingested half of a bottle of ferrous sulfate vitamins. What should the nurse instruct the parent to do?
Explanation & Rationale
Choice A rationale Docusate sodium is a stool softener used to treat constipation and is not indicated for an acute ingestion of ferrous sulfate. Administering this medication would not address the toxic effects of iron overdose, which can cause severe gastrointestinal and metabolic acidosis. Choice B rationale Giving a child orange juice is not an appropriate action. While vitamin C in orange juice can enhance iron absorption, this is dangerous in an overdose situation. The priority is to prevent further systemic absorption of the toxic iron. Choice C rationale Inducing vomiting is no longer a recommended intervention for most ingestions, including iron, due to the risk of aspiration and the limited effectiveness in removing all the ingested substance. The corrosive nature of iron can also cause esophageal damage upon emesis. Choice D rationale Contacting the poison control center is the most appropriate action. Poison control experts can provide the most current, specific, and evidence-based instructions tailored to the child's weight, the amount ingested, and the type of product, ensuring safe management and timely care.