A 2-month-old infant with a congenital heart defect is admitted to the pediatric intensive care unit with congestive heart failure. Which intervention should the nurse include in the infant's plan of care?
1. Monitor respirations during active periods.
2. Give larger feedings less often to conserve energy.
3. Organize activities to allow for uninterrupted sleep.
4. Force fluids appropriate for age.
3
Explanation:
1. Respirations are difficult to monitor during active periods, making this an unrealistic goal.
2. Feedings should be small-volume, high-calorie.
3. It is important to allow for uninterrupted sleep to decrease metabolic demands on the heart.
4. Fluids should be restricted to high-calorie and low-volume in order to avoid overloading the lungs with fluid.
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