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Author Question: The nurse is caring for a 2-month-old infant who has been diagnosed with acute heart failure. The ... (Read 120 times)

Mr3Hunna

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The nurse is caring for a 2-month-old infant who has been diagnosed with acute heart failure. The nurse is providing teaching about nutrition. Which of the following statements by the mother indicates a need for further teaching?
 
  A) The baby may need as much as 150 calories/kg/day..
  B) Small, frequent feedings are best if tolerated..
  C) I need to feed him every hour to make sure he eats enough..
  D) Gavage feedings may be required for now..

Question 2

A nurse is reviewing the medical record of a child and finds that the child has a grade III murmur. After auscultating the child's heart sounds, the nurse would document this murmur as which of the following?
 
  A) Loud without a thrill
  B) Loud with a precordial thrill
  C) Soft and easily heard
  D) Loud, audible with a stethoscope



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Mochi

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Answer to Question 1

C
Feedback:
Although offering small frequent feedings is appropriate if the infant tolerates them, feeding every hour is not necessary. During the acute phase, continuous or intermittent gavage feedings may be needed to help the infant maintain or gain weight. Due to the increased metabolic demands, the infant may require as much as 150 calories/kg/day.

Answer to Question 2

A
Feedback:
A grade III murmur is loud without a thrill. Grade II is soft and easily heard. Grade IV is loud with a precordial thrill. Grade V is characterized as loud, audible with a stethoscope.




Mochi

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