A child with an atrial septal defect (ASD) cannot have surgery without appropriate growth. Which suggestion by the nurse is most appropriate to facilitate weight gain for this child?
A) Buy the child a rocking horse.
B) Sign the child up for swimming lessons.
C) Take the child to the park to play on the swings.
D) Conserve the child's energy use.
Answer: D
The child with a heart defect will have activity intolerance. The parents are taught to provide the child with plenty of rest and nonstrenuous activities to promote growth. A rocking horse may be too strenuous, as are swimming and playing on the swings. The key for this child is conservation of resources and energy.
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