A nurse is caring for a 3-year-old toddler who has heart failure. Which of the following actions should the nurse take to promote rest for the toddler?
Explanation & Rationale
A. Administer diuretics with the toddler's lunch: Giving diuretics with meals can increase urination, potentially disrupting rest and sleep. Timing medications to avoid frequent nighttime awakenings is important to help the toddler maintain adequate rest. B. Establish a daily schedule with the toddler and their family: Creating a consistent daily routine helps the toddler anticipate activities and rest periods, reducing fatigue and promoting better sleep. Structured schedules are especially important for children with heart failure to balance activity and rest effectively. C. Keep the television on in the toddler's room: Continuous television exposure can overstimulate the toddler and interfere with the ability to rest. A calm, quiet environment is more conducive to promoting restorative rest and reducing fatigue in children with heart failure. D. Allow the toddler to visit the playroom 30 min prior to bedtime: Engaging in stimulating activities immediately before bedtime can make it harder for the toddler to fall asleep. Limiting high-energy play before rest periods supports better sleep and helps manage heart failure-related fatigue.