Difficulty: Medium
Average Score: 80%
Simulated
Passage / Scenario
8-month-old infant with heart failureA nurse is planning care for an 8-month-old infant who has heart failure. Which of the following actions should the nurse include in the plan of care?
Correct answer
A
Rationale
The correct answer is A: Administer cool, humidified oxygen via nasal cannula. In heart failure, the infant may experience respiratory distress due to poor oxygenation. Administering cool, humidified oxygen via nasal cannula can help improve oxygen levels in the blood and relieve respiratory distress. Placing the infant in a prone position (choice B) can worsen respiratory distress. Repeating a digoxin dosage if the infant vomits within 1 hr (choice C) can lead to toxicity. Providing less frequent, higher volume feedings (choice D) may exacerbate heart failure symptoms.