A nurse is contributing to the plan of care for an infant who has heart failure. Which of the following interventions should the nurse recommend?
Provide feedings every 3 hr.
Dilute formula to half strength.
Place the infant in lateral position during feeding.
Implement bolus gavage feedings.
The Correct Answer is A
A. Infants with heart failure may experience fatigue during feeding, so smaller, more frequent feedings are recommended to prevent exhaustion and ensure adequate nutrition. Feedings every 3 hours are typically recommended to maintain a steady intake without overexertion.
B. Diluting formula to half strength is not recommended for an infant with heart failure, as it can lead to malnutrition and insufficient caloric intake. The formula should be provided at normal strength.
C. Placing the infant in a lateral position during feeding could be unsafe, as it may increase the risk of aspiration. The infant should generally be fed in an upright or semi-upright position to reduce aspiration risk and promote optimal digestion.
D. Bolus gavage feedings are typically used for infants who are unable to feed orally due to medical conditions, but for a child with heart failure who is feeding orally, more frequent and smaller feedings would be preferable.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This response reassures the child that they are not to blame for the abuse and provides emotional support. It also establishes a sense of safety for the child to express their feelings.
B. Telling the child that they should have spoken up earlier may cause shame or guilt, which can further harm the child’s emotional well-being.
C. Promising not to tell anyone would be unethical because it is necessary to report suspected abuse to the appropriate authorities for the child's safety.
D. While this response acknowledges the injustice of the situation, it doesn't validate the child's feelings of fear or confusion in a way that encourages trust and healing.
Correct Answer is C
Explanation
A. Preschoolers typically have a limited understanding of death and may not experience isolation in the way older children or adults do. They may be more concerned about the reactions of those around them rather than feeling isolated.
B. At this stage, preschoolers are more likely to be concerned with bodily functions and their emotional state rather than worrying about physical body changes after death.
C. Preschoolers often perceive death as a form of punishment due to magical thinking. They may believe that death happens because of something they did wrong or something they caused, reflecting a child’s egocentric thinking.
D. Preschoolers generally do not understand the permanence of death. They may believe that the person will return or that they could wake up from a nap. This understanding typically develops around the age of 6.
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