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 C
Explanation
A. This statement suggests that the child may be experiencing difficulty holding urine, which is not indicative of successful treatment for enuresis.
B. Decreased fluid intake may not necessarily indicate successful treatment for enuresis and could potentially lead to dehydration.
C. This statement suggests that the child responded to the conditioning therapy by waking up to use the bathroom when the alarm signaled, indicating progress in achieving nighttime continence.
D. While Kegel exercises may be beneficial for pelvic floor strength, they are not typically a primary treatment for enuresis, and this statement does not directly indicate the effectiveness of the treatment.
Correct Answer is C
Explanation
A. Temperature within normal range may indicate the absence of infection, but it does not specifically indicate effectiveness of treatment for glomerulonephritis.
B. Absence of pain with voiding is a positive sign but does not directly indicate the effectiveness of treatment for glomerulonephritis.
C. Clear urine indicates resolution of hematuria, a common symptom of acute poststreptococcal glomerulonephritis, suggesting treatment effectiveness.
D. Odorless urine is a general characteristic of urine and does not specifically indicate the effectiveness of treatment for glomerulonephritis.
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