A nurse is caring for an infant who has heart failure and is formula-fed. Which of the following nursing interventions is appropriate to meet the infant's nutritional needs?
Feed the infant at the first sign of hunger.
Use a firm nipple on the bottle when feeding.
Dilute the formula with water to half strength.
Thicken the formula with 1 tsp of rice cereal per ounce.
The Correct Answer is A
A. Infants with HF tire easily; feeding them early, before they are overly fatigued and crying, conserves energy and helps them take in more nutrition. Smaller, more frequent feedings are often recommended.
B. A firm nipple may require more effort to suck, which can be tiring for an infant with heart failure. A softer nipple may be more appropriate.
C. Diluting the formula with water can lead to inadequate caloric intake and nutritional deficiencies. Formula should be prepared according to instructions to ensure proper nutrition.
D. Thickened feeds are sometimes used for reflux, not HF. Adding cereal increases caloric intake but also makes sucking/swallowing more difficult, increasing energy expenditure.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Peanut butter is a good source of protein but is not a complete protein as it lacks some essential amino acids.
B. Pinto beans are also a good source of protein but not a complete protein on their own.
C. Eggs provide all the essential amino acids in adequate amounts, making them a complete protein.
D. Broccoli is nutritious but not a significant source of protein and does not contain all essential amino acids.
Correct Answer is D
Explanation
A. Tinnitus is not commonly associated with hypocalcemia. It is more often related to issues with the auditory system or certain medications.
B. Elevated blood pressure is not a typical sign of hypocalcemia. Hypocalcemia usually affects neuromuscular function rather than causing changes in blood pressure.
C. Constipation is not commonly linked to hypocalcemia. More frequent symptoms include neuromuscular irritability and spasms.
D. Muscle tremors are a common finding in hypocalcemia due to increased neuromuscular excitability. Hypocalcemia can lead to symptoms such as muscle cramps, spasms, and tremors due to the low levels of calcium affecting nerve and muscle function.
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