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?

Administer cool, humidified oxygen via nasal cannula.

Place the infant in a prone position.

Repeat a digoxin dosage if the infant vomits within 1 hr of administration.

Provide less frequent, higher volume feedings.

Answer and Explanation

The Correct Answer is A

Infants with heart failure often present with breathing trouble1, and administering oxygen can help improve oxygen delivery.

Choice B is wrong because placing an infant in a prone position does not help with heart failure.

Choice C is wrong because if an infant vomits within 1 hour of administration of digoxin, the dosage should not be repeated without consulting a healthcare provider.

Choice D is wrong because infants with heart failure may have feeding issues and providing less frequent, higher volume feedings may not be helpful34.

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Correct Answer is C

Explanation

This statement provides the child with factual information about the purpose of the medication and why it is important for them to take it.

Choice A is wrong because it may not be true that the medication tastes like candy and could lead to mistrust.

Choice B is wrong because it does not address the urgency of taking a stat dose of medication.

Choice D is wrong because it does not provide any information about the purpose of the medication and may not be relevant to the child’s feelings.

A. "A nurse will insert an IV prior to the test.” B. "We will measure the amount of protein in your baby's urine over a 24 hour period.” C. "The test will measure the amount of chloride in your baby's sweat.” D. "Your baby will need to fast for 8 hours prior to the test.”

Correct Answer is C

Explanation

Pilocarpine iontophoresis is a test used to diagnose cystic fibrosis by measuring the amount of chloride in a person’s sweat.

Choice A is wrong because an IV is not necessary for this test.

Choice B is wrong because the test measures chloride in sweat, not protein in urine.

Choice D is wrong because fasting is not required for this test.

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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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