Which nursing action is most effective for promoting ideal nutrition in an infant with CHF?

Promoting ideal nutrition in an infant with Congestive Heart Failure (CHF) is crucial because these infants often struggle with adequate caloric intake due to increased energy expenditure and potential feeding difficulties. The most effective approach is to feed formula that is supplemented with additional calories. This option directly addresses the nutritional needs of the infant by providing the necessary calories in a managed manner, which is vital to support growth and development while minimizing the strain on their cardiovascular system.

By using a calorie-dense formula, the infant can achieve sufficient nutrition within shorter feeding sessions, which can be beneficial since infants with CHF may become easily fatigued and may not tolerate long feeding times. This approach ensures that they receive the necessary nutrients without overexerting themselves, thus helping to manage their condition more effectively.

Other feeding strategies, such as allowing lengthy nursing sessions or providing large feedings spaced far apart, may not be as effective in ensuring adequate caloric intake and may lead to fatigue or further complications associated with their heart condition. Using firm nipples with small openings can help regulate feeding speed, which might be beneficial in specific situations, but it does not enhance the overall caloric intake that is critical for infants with CHF. Focusing on caloric density with specialized formula stands out as the