The nurse observes a mother giving her 11-month-old ferrous sulfate (iron drops), followed by 2 ounces (60 mL) of orange juice. What should the nurse do next?

Choice A reason: Instructing the mother to feed the infant nothing for 30 minutes after giving the iron drops is not a correct intervention. It may cause the infant to become hungry, fussy, or dehydrated. It may also interfere with the absorption of iron, as food can enhance the bioavailability of iron in the body. Choice B reason: Suggesting placing the iron drops in the orange juice and then feeding the infant is not a correct intervention. It may alter the taste and color of the orange juice, making it less palatable for the infant. It may also reduce the potency of the iron drops, as iron can react with the citric acid and vitamin C in the orange juice and form insoluble complexes. Choice C reason: Telling the mother to follow the iron drops with infant formula instead of orange juice is not a correct intervention. It may decrease the absorption of iron, as calcium and casein in the infant formula can bind with iron and form insoluble complexes. It may also increase the risk of gastrointestinal side effects, such as constipation, nausea, or vomiting. Choice D reason: Giving the mother positive feedback about the way she administered the medication is a correct intervention. It reinforces the mother's behavior and encourages her to continue giving the iron drops as prescribed. It also acknowledges the mother's efforts and shows respect and appreciation. Following the iron drops with orange juice is a good practice, as vitamin C in the orange juice can enhance the absorption of iron in the body.