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.
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Related Questions
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.
Correct Answer is A
Explanation
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.
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