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 D
Explanation
A. Morphine is more likely to cause hypotension (low blood pressure), not hypertension.
B. Stevens-Johnson syndrome is a severe allergic reaction not typically associated with morphine.
C. Prolonged wound healing is often associated with corticosteroids, not opioids like morphine.
D. Bradypnea (slowed breathing) is a common adverse effect of opioids, including morphine. It's crucial to monitor respiratory rate and depth closely in patients receiving morphine.
Correct Answer is A
Explanation
A. Phototherapy can increase a newborn's body temperature. Frequent monitoring is essential to prevent overheating.
B. Mittens may be used but their use is not directly related to phototherapy.
C. Applying lotion can interfere with the effectiveness of phototherapy. The newborn's skin should be kept clean and dry.
D. The newborn's eyes should be checked more frequently, typically every 4 hours, to monitor for any irritation or inflammation caused by the light.
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