A nurse is assessing a child who has heart failure. Which of the following findings is a clinical manifestation associated with this diagnosis?

Tremors

Bradycardia

Increased appetite

Tachypnea

Answer and Explanation

The Correct Answer is D

A. Tremors are not a typical clinical manifestation of heart failure. They may be associated with conditions like hyperthyroidism or certain medications.

B. Bradycardia (slow heart rate) is not a typical finding in heart failure. In fact, tachycardia (fast heart rate) is more commonly associated with this condition.

C. Increased appetite is not a typical clinical manifestation of heart failure. Children with heart failure may actually experience poor appetite due to decreased cardiac output.

D. Correct. Tachypnea (rapid breathing) is a common clinical manifestation of heart
failure. It can occur as the body tries to compensate for the decreased cardiac output by increasing respiratory rate in an effort to maintain oxygenation.

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Correct Answer is D

Explanation

A. Applying baby powder under the harness straps may cause irritation and should be avoided.

B. Massaging lotion into the skin under the harness is not necessary and may lead to skin irritation or interfere with the harness's function.

C. Adjusting the harness straps daily is important to ensure a proper fit as the infant grows.

D. Placing the diaper under the straps of the harness helps to prevent irritation and allows for a more secure fit of the harness. It also helps to keep the diaper in place.

A. Dark brown blood noted in emesis B. Axillary temperature 38° C (100° F) C. Child reports pain level of 5 on the FACES scale D. Frequent swallowing

Correct Answer is D

Explanation

A. Dark brown blood in emesis is expected postoperatively due to swallowed blood and does not require immediate intervention.
B. A mild fever (38°C or 100°F) can occur postoperatively and is not an emergency.
C. Pain is expected after a tonsillectomy and should be managed but does not require immediate intervention.
D. Frequent swallowing may indicate active bleeding from the surgical site, which requires immediate assessment and intervention.

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A nurse is assessing a child who has heart failure. Which of the following findings is a clinical manifestation associated with this diagnosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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