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.

Answer and Explanation

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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Correct Answer is D

Explanation

A. Increased urine output. Infants with congestive heart failure (CHF) often have decreased urine output due to reduced kidney perfusion caused by poor cardiac function.
B. Bradycardia. CHF is more likely to cause tachycardia as the heart compensates for poor circulation.
C. Increased blood pressure. CHF in infants typically leads to hypotension or normal blood pressure rather than an increase.
D. Tachypnea. Increased respiratory rate (tachypnea) is a common sign of CHF in infants because of fluid overload and pulmonary congestion, which make breathing difficult.

A. 1 cup raw broccoli B. One slice white bread C. One poached egg D. 2 tbsp peanut butter

Correct Answer is A

Explanation

A. 1 cup raw broccoli . Broccoli is a good non-dairy source of calcium, making it suitable for a child with lactose intolerance.
B. One slice white bread. While some breads are fortified with calcium, the amount is typically lower than in broccoli.
C. One poached egg. Eggs contain minimal calcium and are not a significant source.
D. 2 tbsp peanut butter. Peanut butter provides protein and healthy fats, but it is not a rich source of calcium.

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A nurse is providing teaching to the guardian of an infant who has heart failure. Which of the following instructions should the nurse include?

Nursing Test Bank

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