A nurse is planning care for an 8-month-old infant who has heart failure. Which of the following actions should the nurse include in the plan of care?
Place the infant in a prone position.
Repeat a digoxin dosage if the infant vomits within 1 hr. of administration.
Administer cool, humidified oxygen via nasal cannula
Provide less frequent, higher volume feedings
The Correct Answer is C
Choice A Reason:
Placing the infant in a prone position might not be suitable for an infant with heart failure. Typically, an upright or semi-upright position can help reduce the workload on the heart by improving respiratory function and aiding in cardiac output.
Choice B Reason:
Repeating a digoxin dosage if the infant vomits within 1 hour of administration isn't recommended without consulting a healthcare provider. If vomiting occurs within this time frame, giving another dose might result in overdosing.
Choice C Reason:
Administering cool, humidified oxygen via nasal cannula can be beneficial for an infant with heart failure, as it helps in providing supplemental oxygen and maintaining adequate oxygenation levels.
Choice D Reason:
Providing less frequent, higher volume feedings might not be appropriate for an infant with heart failure. These infants often require smaller, more frequent feedings to prevent overloading the digestive system and to manage fluid intake.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A Reason:
"I should dress my child in loose-weave clothing." While wearing clothing that covers the skin is important, loose-weave clothing might not offer adequate protection from UV rays. Tighter weaves and darker colors typically provide better protection.
Choice B Reason:
"I should apply a 10 SPF sunscreen to my child's entire body." SPF 10 sunscreen might not offer sufficient protection, especially for toddlers who are more sensitive to the sun. Sunscreens with a higher SPF (ideally SPF 30 or higher) are recommended for better protection.
Choice C Reason:
"My child should wear a wide-brimmed hat." Wearing a wide-brimmed hat helps protect a toddler's face, neck, and ears from the sun's harmful rays, contributing to sun safety.
Choice D Reason:
"My child should remain under a beach umbrella during morning hours. “While seeking shade under an umbrella is a good practice, it might not offer complete protection, especially during peak sun hours. Additionally, the specific time mentioned (morning hours) doesn't guarantee complete protection from UV exposure.
Correct Answer is D
Explanation
Choice A Reason:
Inserting an IV is not typically required for this specific test. The test involves applying a substance (pilocarpine) to the skin to stimulate sweat production in a localized area for sweat collection.
Choice B Reason:
Measuring protein in the urine over a 24-hour period is unrelated to the pilocarpine iontophoresis test for cystic fibrosis. Protein measurement in urine over a 24-hour period is a different diagnostic test used for various conditions, but not for cystic fibrosis diagnosis.
Choice C Reason:
Fasting for 8 hours prior to the test is not necessary for the pilocarpine iontophoresis test. There's no requirement for fasting before this particular test.
Choice D Reason:
"The test will measure the amount of chloride in your baby's sweat." Is correct. Pilocarpine iontophoresis testing is a diagnostic test used to measure the concentration of chloride in a person's sweat. Elevated chloride levels in sweat are a hallmark of cystic fibrosis, so this test helps in the diagnosis of the condition.
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