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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. 9 months: By 9 months, most infants would have well exceeded doubling their birth weight.
B. 12 months: Doubling of birth weight usually occurs earlier, by around 5 to 6 months, rather than 12 months.
C. 6 months
Explanation:
The general guideline is that infants tend to double their birth weight by around 5 to 6 months of age. This doubling of birth weight is a common marker of healthy growth and development during the first few months of life.
D. 3 months: By 3 months, while infants experience significant growth, they usually haven't doubled their birth weight yet.
Correct Answer is B
Explanation
A. "All recently used clothing, bedding, and towels must be washed in hot water."
Incorrect: While washing recently used clothing, bedding, and towels in hot water can help in controlling lice, this statement alone doesn't ensure complete eradication of lice or nits.
B. "My child must be free from nits before returning to school."
Correct Answer: This statement shows an understanding that children should be free from nits (lice eggs) before returning to school. Many schools have "no-nit" policies, requiring that children be free from both live lice and nits before re-entry.
C. "Toys that can't be dry cleaned or washed must be thrown out."
Incorrect: It's not necessary to throw out toys that cannot be cleaned. Lice cannot survive off the scalp for more than a day or two. Items that cannot be washed can be sealed in a plastic bag for two weeks to ensure any potential lice or nits die off.
D. "We will treat all the family members to be on the safe side."
Incorrect: Treating all family members is a common but not strictly necessary practice unless others show symptoms or evidence of head lice. It's recommended to focus treatment on those with live lice or nits.
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