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

Weight loss of 0.9 kg (2 lb)

Heart rate 65/min

Bounding peripheral pulses

Decreased urine output

Answer and Explanation

The Correct Answer is D

Rationale:

A) Weight loss is not typically expected in heart failure; fluid retention and weight gain are more common.

B) A heart rate of 65/min may be within the normal range for a toddler and does not specifically indicate heart failure.

C) Bounding peripheral pulses are not typically associated with heart failure; weak pulses may be more indicative.

D) Decreased urine output can occur in heart failure due to reduced cardiac output and poor renal perfusion.

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Correct Answer is D

Explanation

A: By the age of 7, most children have a grasp of days and dates as part of their routine. However, not being able to verbalize the date does not necessarily indicate a developmental delay, as it could be related to the child's learning environment or educational opportunities.

B: Counting backwards is a skill that develops with age and practice. A 7-year-old may struggle with this task due to various reasons such as lack of practice, but it is not a definitive sign of a developmental delay.

C: Making change involves complex cognitive skills including math, understanding of money value, and transactions, which may still be developing in a 7-year-old. This skill varies widely among children and is influenced by their experiences with money.

D: The ability to distinguish right from left is a developmental milestone typically achieved by the age of 5 to 6 years. Persistent difficulty in telling the difference between right and left at the age of 7 could suggest a developmental delay in spatial awareness.

A. "My child and I will watch TV for 30 minutes before we go to bed." B. "After my child falls asleep in my bed, I will move them to their bed." C. "I will allow my child to have a drink of water each night prior to bedtime." D. "I will allow my child to eat dinner 1 hour before bedtime."

Correct Answer is C

Explanation

Rationale:

A) Watching TV before bed can be stimulating and disrupt sleep patterns.

B) Allowing the child to fall asleep in the parent's bed and then moving them to their own bed can create dependency and disrupt sleep patterns.

C) This statement shows that the parent understands the importance of hydration and avoiding caffeine or sugar before bed.

D) Eating dinner too close to bedtime can cause indigestion, reflux or nightmares and also disrupts the child’s metabolism.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a 7-year-old child. Which of the following findings indicates a developmental delay?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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