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?

Administer cool, humidified oxygen via nasal cannula.

Place the infant in a prone position.

Repeat a digoxin dosage if the infant vomits within 1 hr of administration.

Provide less frequent, higher volume feedings.

Answer and Explanation

The Correct Answer is A

Infants with heart failure often present with breathing trouble1, and administering oxygen can help improve oxygen delivery.

Choice B is wrong because placing an infant in a prone position does not help with heart failure.

Choice C is wrong because if an infant vomits within 1 hour of administration of digoxin, the dosage should not be repeated without consulting a healthcare provider.

Choice D is wrong because infants with heart failure may have feeding issues and providing less frequent, higher volume feedings may not be helpful34.

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Correct Answer is B

Explanation

“What do you do when your infant is fussy?” This question allows the parent to discuss their coping mechanisms and gives the nurse an opportunity to provide guidance and support.

Choice A is not a therapeutic question because it suggests a course of action rather than exploring the parent’s feelings and experiences.

Choice C and D are not therapeutic questions because they are closed-ended and do not encourage the parent to discuss their coping mechanisms.

A. "We should adjust the straps daily.” B. "We will apply lotion to the skin under the straps.” C. "We will place the diaper under the straps.” D. "We should expect our baby to wear this harness for 2 months.”

Correct Answer is C

Explanation

According to UCSF Benioff Children’s Hospital Oakland Orthopaedic Department, you can change your baby’s diaper with the Pavlik harness in place and make sure the straps are kept outside of the diaper.

Choice A is wrong because while your child is being treated in the Pavlik harness, it is very important that you do not remove the harness or adjust the straps, unless you are given specific instructions by your doctor to do so.

Choice B is wrong because there are no instructions to apply lotion to the skin under the straps.

Choice D is wrong because the duration of treatment will be determined by your doctor and may vary.

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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?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is C

Explanation

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