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 feed my baby on a schedule every 4 hours."
"I will allow my baby to take as much time as needed to finish the bottle."
"I will add increased calorie supplement to each of my baby's bottles."
"I will limit my baby's crying to 15 minutes prior to each feeding."
The Correct Answer is C
A. Feeding on a strict schedule may not be beneficial for an infant with heart failure, as these babies often require more frequent, smaller feedings to prevent fatigue and ensure adequate nutrition.
B. Allowing the baby to take as much time as needed can be beneficial, but it is crucial to monitor for fatigue and ensure the infant receives sufficient nutrition within a reasonable time frame.
C. Adding increased calorie supplements to each bottle is an effective strategy to help meet the increased caloric needs of an infant with heart failure, indicating an understanding of the nutritional requirements.
D. While minimizing crying can be helpful, the focus should be on the infant's needs and ensuring they are fed before they become overly distressed, rather than a strict limit on crying time.
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Correct Answer is A
Explanation
A. Holding breath for 10 seconds after inhaling the medication allows for better absorption of the medication in the lungs, indicating understanding of proper inhaler technique.
B. Taking a quick inhalation is incorrect; the client should take a slow, deep breath to ensure the medication reaches the lungs effectively.
C. Waiting 10 minutes between inhalations is not necessary unless specifically instructed; usually, a second puff can be taken after 1-2 minutes if needed.
D. The client should exhale before inhaling the medication, not while it is being released; exhaling first clears the lungs for a more effective inhalation.
Correct Answer is D
Explanation
A. While anxiety and withdrawal are concerning, they may not require immediate intervention compared to behaviors that pose risks to the child or others.
B. A stable child with a concerned parent may benefit from reassurance and support, but they do not require urgent intervention.
C. Stomach pain without an apparent cause should be assessed, but it may not be as urgent as aggressive behavior that can harm others.
D. A child exhibiting aggressive behavior poses a risk to themselves and others, necessitating immediate assessment and intervention to ensure safety and manage the behavior effectively.