A nurse is planning care for an 8-month-old infant who has heart failure. Which of the following actions should the nurse include in the plan of care?
Place the infant in a prone position.
Repeat a digoxin dosage if the infant vomits within 1 hr. of administration.
Administer cool, humidified oxygen via nasal cannula
Provide less frequent, higher volume feedings
The Correct Answer is C
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A Reason:
Pad the side rails of the crib is correct. This intervention aims to ensure the infant's safety by preventing injury or entrapment in the crib. It's relevant to prevent accidental harm, especially if the infant is experiencing seizures or increased muscle tone due to meningitis.
Choice B Reason:
Keep the television on in the room to provide background noise is incorrect. Background noise might be distracting and uncomfortable for an infant with bacterial meningitis, especially if they're experiencing sensitivity to light and sound due to their condition. A quiet, calm environment is generally more conducive to their recovery.
Choice C Reason:
Place the infant in a semiprivate room is incorrect. Providing a quieter environment with fewer disturbances can be beneficial for an infant with bacterial meningitis. This measure promotes rest and minimizes exposure to potential infections from other patients.
Choice D Reason:
Provide frequent range of motion to the neck and shoulders is incorrect. In cases of bacterial meningitis, particularly when inflammation occurs in the meninges (the protective membranes covering the brain and spinal cord), excessive movement or manipulation of the head and neck might be painful and could exacerbate symptoms.
Correct Answer is C
No explanation
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