The nurse planning nutritional interventions for an infant with congestive heart failure who has a nursing diagnosis of "Imbalanced nutrition: Less than body requirements related to poor caloric intake and increased metabolic demands as evidenced

Question

by poor weight gain and weight loss" would most likely include in the nursing care plan which of the following interventions? a. Increase calorie density slowly by adding less water when mixing formula or powdered formula to expressed breast milk.
b. Quickly increase the calorie density by adding less water when mixing formula or powdered formula to expressed breast milk.
c. Administer bolus feedings via a nasogastric tube every 2 to 3 hours.
d. Start rice cereal earlier than is normally recommended.

Answer 1

A

Feedback
A Correct. The nursing care plan would most likely include interventions such as increasing calorie density slowly by adding less water when mixing formula or powdered formula to expressed breast milk.
B Incorrect. The nursing care plan would not include quickly increasing the calorie density by adding less water when mixing formula or powdered formula to expressed breast milk. Increasing caloric density should be accomplished slowly over a number of days, as a sudden increase will increase the osmotic load in the gut, producing diarrhea.
C Incorrect. The nursing care plan would not include administering bolus feedings via a nasogastric tube every 2 to 3 hours.
D Incorrect. The nursing care plan would not include starting rice cereal earlier than is normally recommended.