A nurse is providing teaching to the guardian of an infant who has heart failure. Which of the following instructions should the nurse include?
Place the infant in a supine position.
Allow the infant to sleep through night feedings.
Minimize the infant's environmental stimuli.
Bathe the infant every day.
The Correct Answer is C
A. "Place the infant in a supine position." Infants with heart failure often have difficulty breathing, so placing them in a semi-upright position (e.g., in a car seat or with the head elevated) can help with breathing and reduce cardiac workload.
B. "Allow the infant to sleep through night feedings." Infants with heart failure have increased metabolic demands and may fatigue easily during feedings. Small, frequent feedings (including nighttime feedings) are important to ensure adequate nutrition.
C. "Minimize the infant's environmental stimuli." Excessive stimulation can increase the infant’s metabolic and oxygen demands, worsening heart failure symptoms. Keeping the environment calm and quiet helps reduce stress on the heart.
D. "Bathe the infant every day." While hygiene is important, daily baths can be too exhausting for an infant with heart failure. Instead, bathing should be limited to as needed (e.g., sponge baths) to prevent excessive fatigue.
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Related Questions
Correct Answer is D
Explanation
A. "You should consider finding other hobbies to participate in instead of sports." Avoiding sports altogether is not necessary for children with asthma. Many children with well-managed asthma can safely participate in sports with proper precautions.
B. "You shouldn't feel frustrated, because you can find other options for exercise." This response dismisses the child's feelings instead of acknowledging them and providing a solution.
C. "You will be able to exercise if you use your peak expiratory flow meter twice per day." While monitoring peak expiratory flow (PEF) is important for asthma management, it does not directly enable participation in sports.
D. "You can participate in sports if you use your rescue inhaler before practice or games." Using a short-acting bronchodilator (such as albuterol) before exercise is a common strategy to prevent exercise-induced bronchoconstriction, allowing children with asthma to safely participate in sports.
Correct Answer is C
Explanation
A. "Place the infant in a supine position." Infants with heart failure often have difficulty breathing, so placing them in a semi-upright position (e.g., in a car seat or with the head elevated) can help with breathing and reduce cardiac workload.
B. "Allow the infant to sleep through night feedings." Infants with heart failure have increased metabolic demands and may fatigue easily during feedings. Small, frequent feedings (including nighttime feedings) are important to ensure adequate nutrition.
C. "Minimize the infant's environmental stimuli." Excessive stimulation can increase the infant’s metabolic and oxygen demands, worsening heart failure symptoms. Keeping the environment calm and quiet helps reduce stress on the heart.
D. "Bathe the infant every day." While hygiene is important, daily baths can be too exhausting for an infant with heart failure. Instead, bathing should be limited to as needed (e.g., sponge baths) to prevent excessive fatigue.
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