Final answer:
The nurse should mix rice cereal in the formula as a potential solution for an infant with congenital heart disease experiencing fatigue and increased pulse and respirations during feedings.
Step-by-step explanation:
The infant's increased pulse and respirations during feedings along with easy fatigue may indicate cardiac insufficiency related to the congenital heart disease. To address this, the nurse should take certain actions:
- A. Feed the infant soon after awakening: This option is not directly related to the symptoms and does not address the infant's fatigue or increased pulse and respirations.
- B. Change the infant's diaper before feeding: This option is not directly related to the symptoms and does not address the infant's fatigue or increased pulse and respirations.
- C. Increase the caloric content of the feeding to 30 kcal/oz: This option does not address the underlying issue of cardiac insufficiency and may not effectively address the fatigue and increased pulse and respirations.
- D. Mix rice cereal in the formula: Rice cereal can help thicken the formula and make it easier for the infant to consume, which can alleviate fatigue and reduce the risk of aspiration. This option directly addresses the symptoms of fatigue and increased pulse and respirations.
Learn more about Congenital Heart Disease