A nurse is contributing to the plan of care for an infant who has heart failure.Which of the following interventions should the nurse recommend?
Explanation & Rationale
Choice A rationaleBolus gavage feedings can overwhelm an infant with heart failure due to rapid increases in metabolic demands and compromised tolerance to large volumes. Fractionated feedings help minimize these effects.Choice B rationaleFeedings every 3 hours ensure adequate caloric intake and prevent fatigue caused by prolonged periods of feeding. This approach balances metabolic requirements with energy conservation to manage cardiac stress.Choice C rationalePlacing the infant in a lateral position during feeding is not recommended, as it may impede breathing and does not align with optimal positioning strategies for infants with heart failure. Elevated positioning is more appropriate.Choice D rationaleDiluting formula to half strength reduces essential nutrient density and caloric intake, potentially exacerbating nutritional deficiencies and delaying growth in infants requiring higher metabolic support.