Patient Data Exhibits The nurse has mixed the formula with enteral nutritional formula powder to increase the caloric content to 24 calories per ounce (24 cal/30 mL).Which nursing intervention(s) should the nurse include from the plan of care to help meet the client's nutritional needs? Select all that apply.
Explanation & Rationale
Rationale: A. Slowly increase caloric content using enteral nutritional formula powder: Gradually increasing caloric density helps meet the infant’s energy requirements without overloading the gastrointestinal system, which is crucial for infants with heart failure and fatigue during feeds. B. Feed the infant on demand: These infants are at high risk for fatigue, and feeding requires a significant amount of energy. This can lead to decreased intake and further weight loss. A structured feeding schedule is more appropriate to ensure adequate caloric intake. C. Make sure the infant is well rested before feeds: Ensuring the infant is rested prior to feeding reduces fatigue, improves endurance, and increases the likelihood of adequate intake. D. Wake the infant up to eat: Infants with heart failure and failure to thrive may not wake spontaneously for feeds; waking them ensures they receive adequate nutrition for growth and energy. E. Stroke the cheek to encourage sucking: Tactile stimulation can promote sucking reflexes and help the infant feed more effectively, which is particularly important in fatigued infants. F. Initiate a three-hour feeding schedule: Infants with heart failure fatigue easily. A structured feeding schedule, such as every 3 hours, is critical to ensure the infant receives consistent nutrition and hydration. This approach prevents the infant from becoming too hungry and ensures that feeding sessions are spaced out enough for the infant to rest and recover. G. Feed for one-hour duration: Prolonged feeding times are not recommended for infants with fatigue; feeds should be effective but brief to prevent exhaustion. H. Give gavage feedings via percutaneous endoscopic gastrostomy (PEG) tube: PEG tube feedings are not indicated at this time since the infant is able to feed orally with support and stimulation.