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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Encouraging active range of motion of the extremity can increase swelling and is not recommended immediately after a sprain.
B. Elevating the extremity above the level of the heart helps reduce swelling by promoting venous return.
C. Wrapping the extremity loosely with an elastic bandage provides some support but is not the most effective way to reduce swelling.
D. Applying warm compresses can increase blood flow and swelling; cold compresses are recommended during the first 24 hours.
Correct Answer is C
Explanation
A. Capillary refill of 2 seconds is normal and does not indicate decreased cardiac output.
B. Warm extremities are a positive sign, indicating good perfusion.
C. Diminished pulses can indicate decreased cardiac output, suggesting inadequate perfusion to the extremities.
D. The blood pressure reading provided is within normal limits for a preschool-aged child and does not indicate decreased cardiac output.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.