A nurse is caring for an infant who has coarctation of the aorta. Which of the following should the nurse identify as an expected finding?

A) Perform exercises prior to bedtime: Engaging in vigorous exercise right before bedtime can actually be stimulating and may interfere with the ability to fall asleep. It is generally recommended to complete exercise earlier in the day to promote better sleep.

B) Stay in bed at least 1 hr if unable to fall asleep: This practice can lead to increased frustration and anxiety about sleep. Instead, it is often advised to get out of bed and engage in a calming activity until feeling sleepy again, which can help reduce sleep anxiety.

C) Eat a light snack before bedtime: Consuming a light snack can be beneficial, as certain foods (like those containing tryptophan) may promote sleepiness. It is important to avoid heavy meals, but a small snack can help some individuals feel more comfortable and ready for sleep.

D) Take a 1-hr nap during the day: While napping can be beneficial, a long nap may interfere with nighttime sleep, especially if taken later in the day. It’s generally better to keep naps short (20-30 minutes) and earlier in the day to avoid impacting nighttime sleep quality.

A) Noting changes in the treatment plan in the client's medical record: While this is important for continuity of care, it may not directly facilitate communication among staff in real-time or promote a collaborative approach.

B) Recording the client's progress in the nurses' notes: Documenting progress is essential, but it serves more as a record of care rather than an active communication tool among the team members.

C) Posting swallowing precautions at the head of the client's bed: This helps ensure that all staff are aware of the precautions, but it does not promote a broader dialogue about the client's overall care and communication needs.

D) Having interdisciplinary team meetings for the client on a regular basis: This is the correct answer. Regular interdisciplinary meetings encourage collaborative communication, allowing various healthcare professionals to discuss the client’s needs, share observations, and develop a cohesive care plan, which is especially important for clients with communication barriers like expressive aphasia.