A nurse is providing discharge education to the parents of an infant with a congenital heart disease. What should the nurse include in the teaching regarding feeding?
"You can introduce solid foods to your baby's diet starting at six months."
"Feed your baby small, frequent meals to prevent fatigue."
"It's essential to avoid breastfeeding due to potential complications."
"Limit the baby's fluid intake to prevent excessive urination."
The Correct Answer is B
A) Incorrect. While solid foods are introduced around six months of age, the nurse should consider the specific condition of the infant's congenital heart disease before giving feeding recommendations.
B) The answer is B. Infants with congenital heart diseases may tire easily during feeding due to the increased effort required for sucking and swallowing. Feeding small, frequent meals can help prevent fatigue and ensure adequate nutrition.
C) Incorrect. Breastfeeding is generally encouraged, even for infants with congenital heart diseases. However, the nurse should consider any specific feeding challenges the infant may have due to their heart condition and provide appropriate support and guidance.
D) Incorrect. Limiting fluid intake may not be necessary unless specifically advised by the healthcare provider. Infants need sufficient hydration, and fluid intake should be managed based on the infant's overall health and condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) This option is incorrect. Difficulty swallowing and poor feeding may indicate other issues, such as gastrointestinal problems, but they are not early symptoms specific to congenital heart diseases.
B) Correct answer. Cyanosis (bluish skin or lips) during crying or feeding is an early clinical finding that may indicate inadequate oxygenation due to heart defects. This symptom is especially prominent in cyanotic congenital heart diseases.
C) This option is incorrect. Persistent cough and recurrent respiratory infections may be related to respiratory issues but are not specific early symptoms of congenital heart diseases.
D) This option is incorrect. Excessive weight gain and a rapid growth rate are not typical early symptoms of congenital heart diseases.
Correct Answer is A
Explanation
A) The answer is A. Monitoring urine output closely is essential postoperatively to assess kidney perfusion and fluid balance, as infants are at risk of fluid shifts after cardiac surgery.
B) Incorrect. While administering prescribed analgesics is important for postoperative pain management, it is not the priority intervention among the options provided.
C) Incorrect. Encouraging deep breathing and coughing exercises is important to prevent respiratory complications, but it is not the priority intervention immediately after cardiac surgery.
D) Incorrect. Elevating the head of the bed can help with respiratory effort, but it is not the priority intervention. Monitoring urine output and fluid balance is more critical in the early postoperative period.
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