A nurse is teaching the parent of an infant who has a new diagnosis of heart failure about nutrition. Which of the following instructions should the nurse include in the teaching?

Place the infant in a recumbent position during feeding.

Allow the infant 45 min for each feeding.

Allow the infant to self-soothe by crying prior to feeding.

Implement a 3-hr feeding schedule.

Answer and Explanation

The Correct Answer is D

A.   Infants with heart failure often experience increased respiratory effort when lying flat. Placing them in a recumbent position can worsen their condition by making it harder to breathe. An upright or semi- upright position is usually preferred to facilitate breathing and digestion.
B.   Infants with heart failure often tire easily during feeding due to increased metabolic demands. Prolonged feedings can be exhausting and may lead to insufficient intake. Shorter, more frequent feedings are typically recommended.
C.   Crying increases the infant's oxygen consumption and metabolic rate, which can be detrimental for an infant with heart failure. It is essential to prevent crying and distress before feeding.

D.   Infants with heart failure often tire easily. A more frequent feeding schedule, such as every 3 hours, allows for smaller, more manageable feedings without overexerting the infant.

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Correct Answer is {"A":{"answers":"A,B"},"B":{"answers":"A"},"C":{"answers":"A,B"},"D":{"answers":"A"}}

Explanation

Temperature: Fever is a common symptom of both acute laryngotracheobronchitis (croup) and pneumonia.

Stridor: Stridor, a high-pitched, wheezing sound, is a classic sign of croup and upper airway obstruction. It is less common in pneumonia.

Irritability: Both croup and pneumonia can cause discomfort and distress in children, leading to irritability.

Cough: A cough, especially a barking cough, is characteristic of croup.

A. "My child will need to double his medications for the next 6 months." B. "My child will need to repeat his childhood immunizations once he is in remission." C. "I will ensure that my child is tested for tuberculosis every year." D. "The risk of transmission decreases once my child is on zidovudine fc

Correct Answer is C

Explanation

A. This statement indicates a misunderstanding of HIV medication management. Medication regimens are carefully tailored and adjusted as needed, but doubling the dose without medical advice is dangerous.
B. There is no cure for HIV, and "remission" is not a term used in this context. Additionally, some live vaccines are contraindicated in immunocompromised individuals, including those with HIV.
C. People with HIV are at increased risk of tuberculosis. Regular TB testing is crucial for early detection and treatment.
D. While antiretroviral therapy (ART) can significantly reduce the viral load and risk of transmission, it doesn't eliminate the risk entirely. Consistent use of condoms and other prevention methods is still essential.

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A nurse is teaching the parent of an infant who has a new diagnosis of heart failure about nutrition. Which of the following instructions should the nurse include in the teaching?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a 3-year-old child. Exhibits For each of the following findings, click to specify if the finding is consistent with acute laryngotracheobronchitis or pneumonia. Each finding may support more than one disease process.

Correct Answer is {"A":{"answers":"A,B"},"B":{"answers":"A"},"C":{"answers":"A,B"},"D":{"answers":"A"}}

Explanation

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Correct Answer is C

Explanation

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