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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. While preparing the 3-year-old child for changes in routines is important, it is too general. Providing specific strategies like role-playing with a doll would be more helpful.
B. Providing a doll for the 3-year-old child to imitate parental behaviors is an effective way to help them understand and adjust to the new sibling's arrival. This encourages a sense of involvement and can help alleviate feelings of jealousy or displacement.
C. While telling the 3-year-old child about having a new playmate is positive, it does not offer concrete strategies for preparing the child for the new sibling's arrival.
D. Waiting for the newborn to come home before moving the 3-year-old child from the crib to a bed may not be necessary. The transition from crib to bed can be independent of the newborn's arrival and should be based on the child's readiness.
Correct Answer is A
Explanation
A. Daily weight monitoring is essential in managing nephrotic syndrome to assess for fluid retention and response to treatment.
B. Positioning the child supine at bedtime is not specific to the management of nephrotic syndrome.
C. Calorie intake may need to be increased rather than limited in nephrotic syndrome to compensate for protein loss and meet increased energy needs.
D. Fluid intake may need to be restricted rather than increased, depending on the child's fluid status and response to treatment.
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