The nurse is planning care for a child who is not growing properly and who has been diagnosed with a fenestrated atrial septal defect
The cardiologist has told the parents that the child needs to grow and gain weight before surgery is performed if the defect does not close on its own. Which of the following would the nurse teach the parents to help the child with a goal of weight gain? 1. Conserve the child's energy use
2. Buy the child a rocking horse
3. Sign the child up for swimming lessons
4. Take the child to the park to play on the swings
1. Conserve the child's energy use
Rationale:
The child with a heart defect will have activity intolerance. The parents are taught to provide the child with plenty of rest and non-strenuous activities to promote growth. A rocking horse may be too strenuous as is swimming and playing on the swings. The key for this child is conservation of resources and energy.
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