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 D
Explanation
A. Providing a lecture that encourages taking calculated risks may lead adolescents to underestimate the dangers of certain activities rather than promoting safety.
B. Offering rewards for reporting high-risk behavior may create an environment of distrust and could discourage open dialogue among peers regarding safety issues.
C. Giving pamphlets does not engage adolescents effectively; they may not read or absorb the information thoroughly without interactive discussion.
D. Creating a mock scene of a motor-vehicle crash effectively demonstrates the serious consequences of high-risk behaviors, engaging students in a way that promotes awareness and understanding of safety.
Correct Answer is ["C","D","E"]
Explanation
A. Pertussis primarily affects the respiratory tract rather than just the nostrils.
B. Pertussis is caused by the bacterium Bordetella pertussis, making it a bacterial infection, not viral.
C. The bacteria release toxins that damage the cilia of the epithelial cells in the respiratory tract, disrupting their function.
D. Inflammation occurs in the lungs and airway due to the infection, contributing to symptoms such as cough.
E. The infection leads to excessive secretions that are difficult to expel, resulting in the characteristic whooping cough associated with pertussis.