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

Answer and Explanation

The Correct Answer is C

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Correct Answer is B

Explanation

Choice A Reason:

"Consume 1,500 to 1,700 calories per day." Caloric needs vary among individuals based on factors like age, sex, activity level, and growth rate. While this calorie range might be suitable for some adolescents, it's not universally applicable. Individual energy needs should be assessed based on various factors.

Choice B Reason:

“Increase the amount of your dietary iron intake." During adolescence, especially in menstruating females, the body's iron requirements increase due to the onset of menstruation and rapid growth. Encouraging adequate intake of dietary iron-rich foods is important to prevent iron deficiency anemia.

Choice C Reason:

"Decrease your vitamin D intake once you start to menstruate." Vitamin D is important for bone health, and menstruation doesn't warrant a decrease in vitamin D intake. Adequate vitamin D intake remains important for bone health, especially during adolescence when bone growth is significant.

Choice D Reason:

"Limit your sodium intake to 3,000 milligrams per day." While excessive sodium intake is a concern, the recommended daily sodium intake varies depending on factors like age and health conditions. For many adolescents, the recommended limit for sodium intake might differ from the specified 3,000 milligrams per day.

A. Provide the child with video games prior to bedtime to reduce stress. B. Follow the child's home sleep routine to reduce anxiety. C. Leave the lights on in the child's room to promote safety. D. Allow the child to adjust their bedtime to promote autonomy.

Correct Answer is B

Explanation

Choice A Reason:

Providing video games prior to bedtime might actually stimulate the child and make it harder for them to relax and fall asleep.

Choice B Reason:

Follow the child's home sleep routine to reduce anxiety. Maintaining consistency with the child's home sleep routine can provide familiarity and comfort, potentially reducing anxiety and promoting better sleep. This familiarity can help the child feel more secure and relaxed, aiding in the transition to sleep in an unfamiliar environment.

Choice C Reason:

Leaving the lights on in the child's room can disrupt the child's ability to achieve restful sleep as the environment may not be conducive to falling and staying asleep.

Choice D Reason:

Allowing the child to adjust their bedtime might not be the best approach in a hospital setting, as maintaining some routine and structure could be more beneficial for their recovery and overall well-being during the hospital stay.

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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?

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Naxlex Comprehensive Predictor Exams

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