Which age-appropriate information should the nurse provide to a ...

[plus1]

Which age-appropriate information should the nurse provide to a 4-year-old girl who is being emotionally prepared for open heart surgery?
 
  1. The name of the surgeon who will be performing the procedure
  2. What the surgical procedure will entail
  3. The purpose of the heartlung machine used during the procedure
  4. What the environment will look and sound like when the child wakes up

Question 2

Which feeding techniques should the nurse include in the teaching session for the parents of an infant who is being discharged in order to gain weight for the corrective surgery needed for a congenital heart defect? Select all that apply.
 
  1. Breastfeed if possible.
  2. Complete each feeding within 30 minutes.
  3. Position the infant flat to promote swallowing.
  4. Dilute the formula with extra water to ensure adequate fluid intake.
  5. Burp the infant frequently.

[owenfalvey]

Answer to Question 1

4
Explanation:
1. The parents know the name of the surgeon. It will mean nothing to a 4-year-old child.
2. The child will be asleep during surgery and therefore does not need to know about the procedure.
3. This is beyond the understanding of a 4-year-old.
4. The child should be prepared in terms of what she will see, hear, smell, or feel.

Answer to Question 2

1, 2, 5
Explanation:
1. Breastfeeding is recommended because it provides antibodies to help protect the infant from infection.
2. Allowing the infant to nurse for more than 30 minutes will burn more calories than calories are gained.
3. The infant should be positioned at a 45-degree angle to reduce the workload of the heart.
4. The formula should not be diluted beyond the label recommendations, as it would lower the caloric count.
5. This is appropriate for the infant with a congenital heart defect as well as the normal infant.