A nurse is assessing an infant who has heart failure. Which of the following findings should the nurse expect? (Select all that apply.)

Increased urinary output

Nasal flaring

Peripheral edema

Bradycardia

Answer and Explanation

Correct Answer : B,C

Choice A reason: Increased urinary output is not typically associated with heart failure. In fact, reduced urinary output may be expected due to decreased kidney perfusion.

Choice B reason: Nasal flaring is a sign of respiratory distress and can be expected in infants with heart failure as they struggle to maintain oxygenation.

Choice C reason: Peripheral edema is a common finding in heart failure due to fluid retention and poor circulation.

Choice D reason: Bradycardia is not a typical sign of heart failure in infants; tachycardia is more common. However, bradycardia can occur in advanced stages due to poor cardiac output.

Choice E reason: Cool extremities are indicative of poor perfusion, which is a consequence of decreased cardiac output in heart failure.

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Correct Answer is ["B","C","D","E"]

Explanation

Choice A reason: It is the nurse's responsibility to administer medication, not the caregiver's, to ensure proper dosage and method.

Choice B reason: Calculating the safe dosage is essential to avoid underdosing or overdosing, which can be harmful to the toddler's health.

Choice C reason: Offering juice after medication can help wash down the taste and ensure the medication is swallowed properly.

Choice D reason: Identifying the toddler by asking the caregiver ensures that the correct child receives the medication, which is a critical safety step.

Choice E reason: Asking the toddler to pick a toy can provide comfort and distraction, making the administration process smoother and less stressful for the child.

A. Platelet count 200,000/mm B. Hematocrit (Hct) 40% C. Blood protein 5.0 g/dL D. Hemoglobin (Hgb) 14.5 g/dL

Correct Answer is C

Explanation

Choice A reason: A platelet count of 200,000/mm is within the normal range and does not need to be reported.

Choice B reason: A hematocrit of 40% is also within the normal range for a preschooler and does not require reporting.

Choice C reason: A blood protein level of 5.0 g/dL is low and indicative of nephrotic syndrome, which can lead to serious complications if not addressed.

Choice D reason: A hemoglobin level of 14.5 g/dL is within the normal range and does not need to be reported.

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A nurse is assessing an infant who has heart failure. Which of the following findings should the nurse expect? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer medication to a toddler. Which of the following actions should the nurse take? (Select all that apply)

Correct Answer is ["B","C","D","E"]

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Correct Answer is C

Explanation

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