On a visit to an older adult who has a chronic heart failure, the nurse observes that the infant lies quietly in a crib and barely has basic needs attended. The older adult is the primary caregiver to the infant. The nurse should:
  1. Advise purchasing appropriate toys designed for this age level
  2. Inform the older adult that the infant will be retarded if not stimulated
  3. Explain the need for the family to hire a mother’s helper for the home
  4. Initiate a referral to an appropriate agency to assess the need for a home health aide
Explanation
Answer - D - The nurse should initiate a referral to an appropriate agency to assess the need for a home health aide. This will ensure that a thorough assessment of the family’s needs is made and the appropriate assistance is initiated.
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