What is the nurse's first action when planning to teach the parents of an infant with a congenital heart defect (CHD)?

Assess the parents' anxiety level and readiness to learn.

Gather literature for the parents.

Secure a quiet place for teaching.

Discuss the plan with the nursing team.

Answer and Explanation

The Correct Answer is A

Choice A rationale:
Assessing the parents' anxiety level and readiness to learn is the first action when planning to teach the parents of an infant with a congenital heart defect (CHD). Understanding the parents' emotional state and readiness to receive information is crucial in tailoring the teaching approach effectively.
Choice B rationale:
Gathering literature for the parents is a valuable resource, but it should come after assessing the parents' needs and readiness to learn. Providing information without considering the parents' emotional state and readiness may not be as effective.
Choice C rationale:
Securing a quiet place for teaching is important for minimizing distractions, but it is not the first action. Assessing the parents' readiness to learn comes before setting up the teaching environment.
Choice D rationale:
Discussing the plan with the nursing team is important for coordination, but it is not the first action. Assessing the parents' emotional state and readiness to learn guides the development of an effective teaching plan.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A rationale:
Weighing the infant every day on the same scale at the same time is crucial in monitoring excess fluid volume in congestive heart failure. Sudden weight gain can indicate fluid retention, a common sign of worsening heart failure. Daily weight monitoring helps in early detection and timely intervention.
Choice B rationale:
Notifying the physician when weight gain exceeds more than 20 g/day might be too late for intervention. Daily weight monitoring is essential to detect trends and intervene promptly to manage excess fluid volume.
Choice C rationale:
Placing the infant in a car seat to minimize movement is not directly related to managing excess fluid volume in congestive heart failure. It is essential for safety during transportation but does not address the nursing diagnosis.
Choice D rationale:
Administering digoxin as ordered by the physician is a medical intervention for congestive heart failure. While important, the nursing diagnosis is related to excess fluid volume, and the focus should be on nursing interventions such as monitoring daily weights.

A. Do not administer pancreatic enzymes if the child is receiving antibiotics. B. Decrease dose of pancreatic enzymes if the child is having frequent, bulky stools. C. Administer pancreatic enzymes between meals if at all possible. D. Pancreatic enzymes can be swallowed whole or sprinkled on a small amount of food taken at the beginning of a meal.

Correct Answer is D

Explanation

Choice A rationale:

Do not administer pancreatic enzymes if the child is receiving antibiotics. Rationale: There is no specific contraindication to administering pancreatic enzymes while the child is receiving antibiotics. Pancreatic enzymes are essential for the digestion and absorption of nutrients in children with cystic fibrosis, and they should be continued even if the child is on antibiotics.

Choice B rationale:

Decrease dose of pancreatic enzymes if the child is having frequent, bulky stools. Rationale: Bulky, foul-smelling stools are common in cystic fibrosis due to malabsorption of nutrients. Pancreatic enzyme replacement therapy is crucial to aid in the digestion of fats and proteins. If the child is experiencing frequent, bulky stools, it may indicate inadequate enzyme dosage, and the healthcare provider should be consulted to adjust the dosage or formulation of pancreatic enzymes. Choice

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

What is the nurse's first action when planning to teach the parents of an infant with a congenital heart defect (CHD)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which intervention should be included in the plan of care for an infant with the nursing diagnosis of Excess Fluid Volume related to congestive heart failure?

Correct Answer is A

Explanation

Pancreatic enzymes are administered to the child with cystic fibrosis.What information should be included in patient education concerning the administration of these enzymes?

Correct Answer is D

Explanation

The nurse is developing a dietary teaching plan for a patient on a vegetarian diet.The nurse should provide the patient with which examples of protein-containing foods? (Select all that apply.).

Which description of a stool is characteristic of intussusception?

A nurse is conducting discharge teaching to parents about the care of their infant after cardiac surgery. The nurse instructs the parents to notify the physician of what conditions occur. (Select all that apply.).

What should the nurse stress in a teaching plan for the mother of an 11-year-old diagnosed with ulcerative colitis?

Because a full bladder prevents the uterus from contracting normally, nurses intervene to help the woman empty her bladder spontaneously as soon as possible.If all else fails, the last thing the nurse could try is.

A newborn is jaundiced and receiving phototherapy via ultraviolet bank lights.An appropriate nursing intervention when caring for an infant with hyperbilirubinemia and receiving phototherapy by this method would be to:.

The nurse observes some children in the playroom. Which play situation exhibits the characteristics of parallel play?

The nurse administers vitamin K to the newborn for which reason?