A nurse is assessing a toddler who has heart failure. Which of the following findings should the nurse expect?

Orthopnea

Bradycardia

Weight loss

Increased urine output

Answer and Explanation

The Correct Answer is A

A. Orthopnea
Explanation:
Orthopnea refers to difficulty breathing that occurs when lying flat. In heart failure, fluid may accumulate in the lungs, leading to respiratory distress when the child is in a supine position. Orthopnea is a common symptom of heart failure in both adults and children.
B. Bradycardia
Explanation: Bradycardia (slow heart rate) is not a typical finding in heart failure. Heart failure often leads to compensatory mechanisms, including an increased heart rate (tachycardia), to maintain cardiac output.
C. Weight loss
Explanation: Weight loss is not a typical finding in heart failure. In fact, heart failure in children may lead to fluid retention and weight gain rather than weight loss.
D. Increased urine output
Explanation: Heart failure in toddlers is more likely to be associated with decreased urine output rather than increased urine output. Reduced cardiac output can result in decreased blood flow to the kidneys, leading to decreased urine production and potential fluid retention. Increased urine output is not a characteristic finding in heart failure.

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Free Nursing Study Resources

Correct Answer is ["800"]

Explanation

The Parkland formula is commonly used to calculate the fluid requirements for burn resuscitation. The formula is:

Fluid requirement (in mL)=TBSA×Weight (in kg)×Fluid volume (in mL/kg)

For burn patients, the recommended fluid volume is typically 4 mL/kg for each percent of TBSA burned.

Let's calculate the fluid requirement for the given case:

Fluid requirement=40%×22 lbs×4 mL/kg

First, convert the weight from pounds to kilograms:

Weight (in kg)= Weight (in lbs)/2.2

Weight (in kg)=22 lbs/2.2≈10 kg

Now, calculate the fluid requirement:

Fluid requirement=40% x 10 kg × 4 mL/kg

Fluid requirement=1600mL(totalfluidover24hours)

Fluid for the first 8 hours:

1600/2=800ml

Thus, the child will receive 800 mL of fluid in the first 8 hours after the burn injury.

A. "Has the child had any difficulty swallowing food?" B. "Does the child play with an imaginary friend?" C. "Does the child respond when called by name? D. "Was the child recently treated for pneumonia?"

Correct Answer is A

Explanation

A. "Has the child had any difficulty swallowing food?"
Explanation:
Cleft palate repair can impact various aspects of a child's development, and one potential long-term effect is difficulty with swallowing or feeding. This question is relevant to assessing the child's oral and feeding function, which can be influenced by the cleft palate repair.
B. "Does the child play with an imaginary friend?"
Explanation: Imaginary play and social interactions are not directly related to the long-term effects of cleft palate repair. This question focuses more on social and imaginative development.
C. "Does the child respond when called by name?"
Explanation: Responsiveness to one's name is a general developmental milestone and is not directly related to the long-term effects of cleft palate repair.
D. "Was the child recently treated for pneumonia?"
Explanation: While respiratory issues can be a concern in children with a history of cleft palate, this question is more specific to recent health issues and does not address the long-term effects of cleft palate repair.

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A nurse is assessing a toddler who has heart failure. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["800"]

Explanation

A preschooler with a history of cleft palate repair comes to the clinic for a routine well-child checkup. To determine whether this child is experiencing a long-term effect of cleft palate, which question would the nurse ask the parent?

Correct Answer is A

Explanation

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