A nurse is explaining the significance of early detection and treatment of congenital heart diseases. Which outcome should the nurse emphasize as a result of timely intervention?

A) The answer is A. Before administering furosemide, it is essential to assess the child's respiratory rate because this medication is a loop diuretic that can lead to fluid and electrolyte imbalances, including hypokalemia. Respiratory rate assessment helps monitor for signs of respiratory distress, especially in clients with heart failure.

B) Incorrect. While monitoring the child's blood pressure is essential, it is not the priority action before administering furosemide. Blood pressure may be affected by the diuretic action of the medication, but respiratory status is more critical to assess initially.

C) Incorrect. Although monitoring electrolyte levels is important when administering furosemide, it is not the priority action. Assessing the child's respiratory rate takes precedence to identify any respiratory distress.

D) Incorrect. Determining the child's weight is relevant in assessing the effectiveness of furosemide therapy. However, it is not the priority action before administering the medication. Respiratory assessment is more critical for immediate intervention.

Questions

A) Incorrect. Not all medications can be crushed, and mixing them with the infant's formula may affect their efficacy. Crushing medications should only be done when it is safe and appropriate, as determined by the healthcare provider.

B) Incorrect. Administering medications simultaneously may not be feasible or safe, as some medications require specific intervals between doses. The nurse should follow the prescribed administration schedule to ensure appropriate drug levels in the infant's system.

C) The answer is C. Using a medication organizer can help the nurse and the infant's parents keep track of the complex medication schedule. This helps prevent missed doses and ensures proper administration of each medication.

D) Incorrect. The nurse, along with the healthcare provider, should determine the medication dosing times based on the infant's condition and the prescribed schedule. Leaving the decision solely to the parents may lead to dosing errors or missed doses.