What is the appropriate priority nursing action for the infant with a CHD who has an increased respiratory rate,is sweating,and is not feeding well?
A) Recheck the infant's blood pressure.
B) Alert the provider.
C) Withhold oral feeding.
D) Increase the oxygen rate.

Question

Quizplus · Accepted Answer

These are signs of early congestive heart failure,and the provider should be notified.Rechecking the blood pressure is not necessary.Withholding the infant's feeding is an incomplete response to the problem.Increasing oxygen may alleviate symptoms,but medications such as digoxin and furosemide are necessary to improve heart function and fluid retention.Notifying the provider is the priority nursing action.

What Is the Appropriate Priority Nursing Action for the Infant