A nurse is reinforcing teaching with a parent of an infant who has a new diagnosis of heart failure. Which of the following findings should the nurse include as an expected manifestation of this disease?

Increased urinary output

Tachycardia

Bounding peripheral pulses

Increased blood pressure

Answer and Explanation

The Correct Answer is B

Choice A reason:

Increased urinary output is not typically associated with heart failure. In fact, heart failure often leads to decreased urine output due to decreased cardiac output.

Choice B reason:

Tachycardia (rapid heart rate) is a common manifestation of heart failure in infants. The heart compensates for decreased cardiac output by beating faster.

Choice C reason:

Bounding peripheral pulses are not typically associated with heart failure. In fact, weak peripheral pulses may be a sign of decreased cardiac output.

Choice D reason:

Increased blood pressure is not typically associated with heart failure in infants. Instead, infants with heart failure may have low or normal blood pressure.

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Correct Answer is B

Explanation

Choice A reason:

Placing a folded blanket to pad the back of the infant's head is not recommended, as it can interfere with the proper fit of the car seat harness and potentially be a safety hazard.

Choice B reason:

This statement is correct. Infant car seats should be positioned at a 30-degree angle to provide optimal support for the infant's head and neck, as well as to prevent airway obstruction.

Choice C reason:

While car seats with a four-point harness do exist, a standard infant car seat typically has a five- point harness system.

Choice D reason:

The retainer clip should be positioned at the level of the infant's armpits to ensure that the harness is snug and secure.

A. An adolescent who has pneumonia B. A preschooler who has tuberculosis C. A school-age child who has Haemophilus influenzae type B disease D. An infant who has respiratory syncytial virus

Correct Answer is B

Explanation

Choice A reason:

Pneumonia is typically transmitted through respiratory droplets, and standard precautions are sufficient for preventing its spread.

Choice B reason:

Correct. Tuberculosis (TB) is an infectious disease that requires contact precautions. This helps prevent the spread of Mycobacterium tuberculosis, the bacteria that cause TB.

Choice C reason:

Haemophilus influenzae type B disease is primarily transmitted through respiratory droplets, so standard precautions are generally sufficient.

Choice D reason:

Respiratory syncytial virus (RSV) is primarily transmitted through respiratory droplets, so standard precautions are generally sufficient. However, in some cases, droplet precautions may be recommended for infants and young children with severe RSV infections.

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A nurse is reinforcing teaching with a parent of an infant who has a new diagnosis of heart failure. Which of the following findings should the nurse include as an expected manifestation of this disease?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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