A nurse is teaching home care to the parents of a preschool-age child who has heart failure.
Which of the following information should the nurse include in the teaching?
Increase the child's oxygen flow rate until the child no longer has cyanosis.
Weigh the child once each month.
Withhold digoxin if the child's pulse is greater than 100/min.
Provide for periods of rest.
The Correct Answer is D
Provide for periods of rest.

Children with heart failure may have trouble breathing, especially with activity, and may feel tired.
It is important for them to have periods of rest to help manage their symptoms.
Choice A is wrong because increasing the child’s oxygen flow rate should be done under the guidance of a healthcare provider.
Choice B is wrong because it is important to monitor the child’s weight more frequently than once a month.
Choice C is wrong because digoxin is a medication that can help the heart beat stronger with a more regular rhythm and should not be withheld based on pulse rate alone.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Consistent care from the same nursing staff can help establish a routine and build trust between the infant and caregivers.
Choice A is wrong because giving an infant fruit juice between feedings does not address the underlying causes of failure to thrive.
Choice B is wrong because using half-strength formula when feeding the infant can exacerbate the problem by providing insufficient nutrition.
Choice D is wrong because keeping the infant in a visually stimulating environment does not address the underlying causes of failure to thrive.
Correct Answer is C
Explanation
During a seizure, it is important to clear the area around the person of anything hard or sharp to prevent injury.
Choice A is wrong because Minimize movement of the limbs, is not a recommended action during a seizure as it is important not to hold the person down or try to stop their movements.
Choice B is wrong because Insert a tongue blade between the teeth, is not a recommended action during a seizure as it is important not to put anything in the person’s mouth.
Choice D is wrong because Place the child in a prone position, is not a recommended action during a seizure as it is important to turn the person gently onto one side to help them breathe.
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