A nurse is teaching the parent of an infant who has a new diagnosis of heart failure about nutrition. Which of the following instructions should the nurse include in the teaching?
Place the infant in a recumbent position during feeding.
Allow the infant 45 min for each feeding.
Allow the infant to self-soothe by crying prior to feeding.
Implement a 3-hr feeding schedule.
The Correct Answer is D
A. Infants with heart failure often experience increased respiratory effort when lying flat. Placing them in a recumbent position can worsen their condition by making it harder to breathe. An upright or semi- upright position is usually preferred to facilitate breathing and digestion.
B. Infants with heart failure often tire easily during feeding due to increased metabolic demands. Prolonged feedings can be exhausting and may lead to insufficient intake. Shorter, more frequent feedings are typically recommended.
C. Crying increases the infant's oxygen consumption and metabolic rate, which can be detrimental for an infant with heart failure. It is essential to prevent crying and distress before feeding.
D. Infants with heart failure often tire easily. A more frequent feeding schedule, such as every 3 hours, allows for smaller, more manageable feedings without overexerting the infant.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Lotions, powders, or ointments should be avoided under the harness as they can irritate the skin.
B. This helps protect the skin and keeps the harness clean.
C. Only a healthcare provider should adjust the harness straps. Parents should not attempt to do this.
D. Massage can irritate the skin and should be avoided.
Correct Answer is C
Explanation
A. The Hepatitis B vaccine is typically administered in a series of three doses, starting at birth and continuing through the first year of life. By the age of 5, the child should already have completed the Hepatitis B series. Therefore, this vaccine is not usually administered at this age unless there is a missed dose or special circumstances requiring catch-up.
B. The Hib vaccine is given in a series during infancy and early childhood, with the last dose typically administered between 12 and 15 months of age. By the age of 5, most children should have completed the Hib series. Like Hepatitis B, Hib would not generally be administered at this age unless there are specific catch-up needs.
C. The Varicella (chickenpox) vaccine is part of the routine immunization schedule for children. The first dose is typically given between 12 and 15 months of age, and the second dose is administered between 4 and 6 years of age. At 5 years old, the child would be due for the second dose of the Varicella vaccine if not already received. This makes it a relevant immunization for this age group.
D. The Rotavirus vaccine is given in a series to infants, starting at 2 months of age, with subsequent doses typically given at 4 and 6 months. The series should be completed before the child is 8 months old. By age 5, the child should have already completed the Rotavirus series, so this vaccine would not be administered at this age.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.