Nursing care of the infant and child with congestive heart failure would include which of the following?
Organize activities to allow for uninterrupted sleep and frequent rest periods.
Force fluids appropriate to age to keep well hydrated.
Continuously monitor respirations during active periods.
Give larger feedings less often to conserve energy
The Correct Answer is A
A. Infants and children with congestive heart failure (CHF) have increased metabolic demands and often experience fatigue with activity. Organizing care to allow uninterrupted sleep and frequent rest periods helps conserve energy and promotes recovery.
B. Forcing fluids can be dangerous in CHF due to the risk of fluid overload, which can worsen symptoms like pulmonary edema.
C. While monitoring respiratory status is important, continuous monitoring during active periods is not a standard or necessary nursing intervention.
D. Giving larger feedings less often is not appropriate, as it can lead to fatigue and increased oxygen demand. Instead, smaller, more frequent feedings are recommended to conserve energy.
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Related Questions
Correct Answer is C
Explanation
A. Digoxin is used to strengthen cardiac contractions and treat heart failure, but it does not maintain ductal patency.
B. Ibuprofen is a prostaglandin inhibitor, and would actually cause closure of the PDA, which is contraindicated in transposition of the great vessels.
C. Prostaglandin E (such as alprostadil) is administered to keep the ductus arteriosus open, allowing mixing of oxygenated and deoxygenated blood to improve oxygenation until surgical correction is performed.
D. Indomethacin is also a prostaglandin inhibitor used to close a PDA, not keep it open.
Correct Answer is D
Explanation
A. A vanilla milkshake contains dairy, which can coat the throat and cause coughing or throat clearing, potentially leading to bleeding.
B. Orange juice is acidic and can irritate the surgical site, causing pain and discomfort.
C. Cranberry juice, while not as acidic as orange juice, can still be irritating due to its tartness, especially in the early postoperative phase.
D. Crushed ice is ideal shortly after a tonsillectomy. It helps keep the throat moist, provides soothing relief, and poses minimal risk of irritation or bleeding. It is often recommended as one of the first oral intake options post-op.
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