A nurse is teaching a parent of an infant who has heart failure about meeting the infant's nutritional needs. Which of the following statements by the parent indicates an understanding of the teaching?
I will allow my baby to take as much time as needed to finish the bottle.
I will add Polycose to each of my baby's bottles.
I will feed my baby on a schedule every 4 hours.
I will limit my baby's crying to 15 minutes prior to each feeding.
The Correct Answer is B
The correct answer is: B. I will add Polycose to each of my baby's bottles.
Choice A reason:
Allowing the baby to take as much time as needed to finish the bottle is not ideal for infants with heart failure. These infants often tire easily and may not consume enough calories if feeding sessions are prolonged. Shorter, more frequent feedings are generally recommended to ensure adequate intake without exhausting the infant.
Choice B reason:
Adding Polycose to each bottle is an effective way to increase the caloric density of the infant's feedings. Infants with heart failure have higher caloric needs due to their increased metabolic demands and may struggle to consume enough calories through regular formula or breast milk alone. Polycose, a carbohydrate supplement, helps meet these increased nutritional needs.
Choice C reason:
Feeding the baby on a schedule every 4 hours may not be sufficient for an infant with heart failure. These infants often require more frequent feedings to meet their caloric needs and to prevent fatigue during feeding. Feeding every 1-3 hours is typically recommended to ensure they receive adequate nutrition.
Choice D reason:
Limiting the baby's crying to 15 minutes prior to each feeding does not directly address the nutritional needs of an infant with heart failure. While managing crying is important to reduce energy expenditure, the focus should be on providing adequate nutrition through frequent, high-calorie feedings.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Ridged abdomen is not an expected finding for an infant who has pyloric stenosis, as it indicates abdominal rigidity or guarding, which can be a sign of peritonitis or bowel obstruction. Pyloric stenosis is a narrowing of the pyloric sphincter, which causes gastric outlet obstruction and delayed gastric emptying.
Choice B reason: Red currant jelly stools are not an expected finding for an infant who has pyloric stenosis, as they indicate blood and mucus in the stools, which can be a sign of intussusception or necrotizing enterocolitis. Pyloric stenosis does not affect the lower gastrointestinal tract, and the infant may have constipation or dehydration due to vomiting.
Choice C reason: Projectile vomiting is an expected finding for an infant who has pyloric stenosis, as it occurs after feeding due to the increased pressure in the stomach and the inability to pass food into the duodenum. Projectile vomiting can cause weight loss, dehydration, electrolyte imbalance, and metabolic alkalosis.
Choice D reason: Distended neck veins are not an expected finding for an infant who has pyloric stenosis, as they indicate increased central venous pressure, which can be a sign of heart failure or superior vena cava syndrome. Pyloric stenosis does not affect the cardiovascular system, and the infant may have sunken fontanels or poor skin turgor due to dehydration.
Correct Answer is ["B","C"]
Explanation
Choice A reason: Retinopathy is not a potential issue for a child who has leukemia, as it is a condition that affects the blood vessels of the retina, which can be caused by diabetes, hypertension, or sickle cell disease. Leukemia does not affect the retina, but it can cause blurred vision, eye pain, or headaches due to increased intracranial pressure or cranial nerve involvement.
Choice B reason: Hemorrhage is a potential issue for a child who has leukemia, as it is a condition that causes excessive bleeding, which can be caused by thrombocytopenia, coagulopathy, or bone marrow suppression. Leukemia can cause a low platelet count, which impairs the blood clotting process and increases the risk of bleeding from minor injuries, mucous membranes, or internal organs.
Choice C reason: Neuropathy is a potential issue for a child who has leukemia, as it is a condition that affects the nerves, which can be caused by chemotherapy, radiation, infection, or compression. Leukemia can cause nerve damage, which can result in numbness, tingling, pain, or weakness in the extremities, face, or trunk.
Choice D reason: Rheumatoid arthritis is not a potential issue for a child who has leukemia, as it is a condition that affects the joints, which can be caused by an autoimmune disorder, inflammation, or infection. Leukemia does not affect the joints, but it can cause bone pain, swelling, or fractures due to bone marrow infiltration or osteoporosis.
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