Which of the following would be included in the nursing care of an infant with congestive heart failure?
1. Force fluids appropriate for age
2. Monitor respirations during active periods
3. Organize activities to allow for uninterrupted sleep
4. Give larger feedings less often to conserve energy
3. Organize activities to allow for uninterrupted sleep
Rationale:
It is important to allow for uninterrupted sleep in order to decrease metabolic demands on the heart. Fluids should be restricted to those that are high in calories and low in volume in order to avoid overloading the lungs with fluid. Respirations are difficult to monitor during active periods, making this an unrealistic goal. Small-volume, high-calorie feedings should be given.
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