A nurse is caring for a school-age child who has heart failure. Which of the following interventions should the nurse implement?
Avoid giving the child live virus vaccines.
Weigh the child every other day.
Ensure that the child sleeps in an air-conditioned room.
Consolidate activities to promote the child's rest.
The Correct Answer is D
A. Avoid giving the child live virus vaccines. Children with heart failure can receive live vaccines unless they are immunocompromised (e.g., from immunosuppressive therapy).
B. Weigh the child every other day. Daily weights are necessary to monitor fluid retention, a key concern in heart failure.
C. Ensure that the child sleeps in an air-conditioned room. While a cool environment may be comfortable, this is not a priority intervention for heart failure management.
D. Consolidate activities to promote the child's rest. Children with heart failure experience fatigue easily due to reduced cardiac output. Grouping activities together minimizes energy expenditure and promotes adequate rest.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "I will seal nonwashable items in a plastic bag for 1 week." Nonwashable items (e.g., stuffed animals, pillows) should be sealed in a plastic bag for at least 2 weeks, not just 1 week, to ensure all lice and nits die.
B. "I will place hairbrushes, combs, and hair accessories in boiling water for 10 minutes." Boiling these items in water for at least 5–10 minutes effectively kills lice and nits.
C. "I will wash my child's clothing and bedding using a double rinse." Clothing and bedding should be washed in hot water (at least 130°F or 54°C) and dried on high heat, but a double rinse is not necessary.
D. "I will use the medicated shampoo on my child's hair daily for 3 days." Medicated lice shampoos should be used once, followed by a repeat application in 7–10 days if needed. Daily use is not recommended due to potential toxicity and irritation.
Correct Answer is D
Explanation
A. Avoid giving the child live virus vaccines. Children with heart failure can receive live vaccines unless they are immunocompromised (e.g., from immunosuppressive therapy).
B. Weigh the child every other day. Daily weights are necessary to monitor fluid retention, a key concern in heart failure.
C. Ensure that the child sleeps in an air-conditioned room. While a cool environment may be comfortable, this is not a priority intervention for heart failure management.
D. Consolidate activities to promote the child's rest. Children with heart failure experience fatigue easily due to reduced cardiac output. Grouping activities together minimizes energy expenditure and promotes adequate rest.
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