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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. While hydration is important in respiratory illnesses, improved hydration is not the primary goal of using a cool mist tent.
B. A barking cough is a characteristic symptom of laryngotracheobronchitis (croup) and indicates ongoing airway irritation, not improvement.
C.. Stridor is a high-pitched, harsh sound caused by airway narrowing. A decrease in stridor indicates reduced inflammation and improved airway patency, which is the intended effect of the cool mist therapy.
D. A decreased temperature may occur with other supportive care or antipyretics, but it is not a direct indicator of improved airway function from mist therapy.
Correct Answer is D
Explanation
A. Pancreatic enzymes are not used to improve metabolism; they are meant to aid digestion, particularly of fats, proteins, and carbohydrates.
B. Enzymes should be taken with meals or snacks, not hours before, to ensure they are present when food enters the small intestine.
C. Taking enzymes after meals reduces their effectiveness because digestion has already started without them.
D. Pancreatic enzymes are given to children with cystic fibrosis to replace the enzymes their pancreas cannot produce. These enzymes help digest fats, improving nutrient absorption and preventing malnutrition and steatorrhea.
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