Which strategy is appropriate when feeding the infant with congestive heart failure?
Always bottle feed every 4 hours
Feed larger volumes of concentrated formula less frequently
Continue the feeding until a sufficient amount of formula is taken
Limit feeding to no more than 30 minutes
The Correct Answer is D
A. Feeding frequency should be individualized and may need to be more frequent with smaller volumes.
B. Larger volumes increase energy expenditure and fatigue; not recommended.
C. Prolonging feeding times increases fatigue, which can worsen CHF symptoms.
D. Infants with CHF often tire easily; limiting feeding to 30 minutes reduces energy expenditure and prevents fatigue and fluid overload.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Giving an extra dose after a missed dose can lead to toxicity. Parents should skip the missed dose and not give two doses at once.
B. Digoxin should not be mixed with formula because it may affect the absorption of the medication.
C. If the child vomits, do not administer another dose. The nurse should instruct parents to monitor for vomiting and hold the dose if needed.
D. Giving the medication at regular intervals ensures consistent therapeutic levels and reduces the risk of toxicity.
Correct Answer is D
Explanation
A. Feeding frequency should be individualized and may need to be more frequent with smaller volumes.
B. Larger volumes increase energy expenditure and fatigue; not recommended.
C. Prolonging feeding times increases fatigue, which can worsen CHF symptoms.
D. Infants with CHF often tire easily; limiting feeding to 30 minutes reduces energy expenditure and prevents fatigue and fluid overload.
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