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?

Allow the infant to self soothe by crying prior to feeding

Place the infant in a recumbent position during feeding

Implement a 3 hr feeding schedule.

Allow the infant 45 min for each feeding

Answer and Explanation

The Correct Answer is C

A. Allowing the infant to self-soothe by crying prior to feeding is not appropriate, as it may lead to increased stress and fatigue, which can worsen heart failure symptoms.

B. Placing the infant in an upright position during feeding helps to reduce the risk of aspiration and promotes effective swallowing.

C. Infants with heart failure have a weakened heart that struggles to pump blood efficiently. Feeding can be tiring for them, and they might not be able to consume large volumes at once. A smaller, more frequent feeding schedule allows them to take in enough calories without overexertion. This approach helps manage their energy expenditure and reduces stress on the heart.

D. While some infants might take longer to feed, heart failure can make feeding tiring. Offering smaller, more frequent feedings can help the infant consume enough calories without expending too much energy.

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Correct Answer is C

Explanation

A. Riding the bicycle against the flow of traffic increases the risk of collisions with oncoming vehicles. Children should ride with the flow of traffic to be more predictable and visible to drivers.
B. Keeping the bicycle at least 3 feet from the curb while riding in the street is a good safety practice to prevent collisions with parked cars or opening car doors.
C. Walking the bicycle through intersections allows the child to safely navigate intersections as pedestrians, reducing the risk of accidents with vehicles.
D. The height of the child's feet when seated on the bicycle is not directly related to safety at intersections. However, it is important for the child to be able to touch the ground with their feet while seated to maintain balance and control while stopping and starting.

A. "I will ensure that my child is tested for tuberculosis every year." B. "The risk of transmission decreases once my child is on zidovudine for 2 weeks." C. "My child will need to double his medications for the next 6 months." D. "My child will need to repeat his childhood immunizations once he is in remission."

Correct Answer is A

Explanation

A. This statement demonstrates an understanding of the increased risk of tuberculosis in individuals with HIV and the importance of regular screening. Tuberculosis is a common opportunistic infection in individuals with HIV, and regular testing is essential for early detection and treatment.
B. While starting antiretroviral therapy such as zidovudine is important for managing HIV, it does not immediately decrease the risk of transmission. It takes time for viral load suppression to occur and for the risk of transmission to decrease significantly.
C. Doubling medications without healthcare provider guidance could lead to incorrect dosing and potential harm. HIV medications should be taken exactly as prescribed by the healthcare provider.

D. Childhood immunizations are essential for preventing other infectious diseases but may need to be adjusted based on the child's immune status and specific recommendations from the healthcare provider. The statement does not address the immediate concern of managing HIV.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching the parent of a school-age child about bicycle safety. Which of the following instructions should the nurse include in the teaching?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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