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?
Allow the infant to self soothe by crying prior to feeding
Place the infant in a recumbent position during feeding
Implement a 3 hr feeding schedule.
Allow the infant 45 min for each feeding
The Correct Answer is C
A. Allowing the infant to self-soothe by crying prior to feeding is not appropriate, as it may lead to increased stress and fatigue, which can worsen heart failure symptoms.
B. Placing the infant in an upright position during feeding helps to reduce the risk of aspiration and promotes effective swallowing.
C. Infants with heart failure have a weakened heart that struggles to pump blood efficiently. Feeding can be tiring for them, and they might not be able to consume large volumes at once. A smaller, more frequent feeding schedule allows them to take in enough calories without overexertion. This approach helps manage their energy expenditure and reduces stress on the heart.
D. While some infants might take longer to feed, heart failure can make feeding tiring. Offering smaller, more frequent feedings can help the infant consume enough calories without expending too much energy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
A. Partial thromboplastin time (PTT) is not typically used to diagnose rheumatic fever. It is used to evaluate coagulation disorders.
B. Elevated C-reactive protein (CRP) levels indicate inflammation, which can be associated with rheumatic fever.
C. Elevated erythrocyte sedimentation rate (ESR) is a marker of inflammation and can be elevated in rheumatic fever.
D. Elevated Antistreptolysin O (ASO) titer indicates recent streptococcal infection, which is a predisposing factor for rheumatic fever.
E. Blood urea nitrogen (BUN) is not typically used to diagnose rheumatic fever. It is used to assess kidney function.
Correct Answer is C
Explanation
A. Visual analog scales may not be appropriate for toddlers who are cognitively impaired and unable to understand abstract concepts.
B. FACES pain scale relies on the child's ability to express emotions through facial expressions, which may be limited in cognitively impaired toddlers.
C. FLACC (Face, Legs, Activity, Cry, Consolability) pain scale is a validated tool for assessing pain in young children, including those who are cognitively impaired.
D. CRIES pain scale is typically used for neonates and infants up to 6 months of age and may not be suitable for toddlers.
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