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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:
The color tool is not a pain assessment tool; it is used to assess oxygen saturation levels.
Choice B reason:
The FACES scale is commonly used for children who are 3 years of age and older, but it may not be suitable for an 18-month-old toddler who may have limited ability to express pain through facial expressions.
Choice C reason:
The visual analog scale is typically used for older children and adults. It may not be effective for assessing pain in an 18-month-old toddler.
Choice D reason:
The FLACC scale (Face, Legs, Activity, Cry, Consolability) is a validated pain assessment tool for young children, including toddlers. It evaluates specific behaviors related to pain, making it suitable for this age group.
Correct Answer is D
Explanation
Choice A reason:
Tinnitus (ringing in the ears) is not a typical symptom of a vaso-occlusive crisis in sickle cell anemia.
Choice B reason:
Pruritus (itching) is not a typical symptom of a vaso-occlusive crisis in sickle cell anemia.
Choice C reason:
Polyuria (excessive urination) is not a typical symptom of a vaso-occlusive crisis in sickle cell anemia.
Choice D reason:
Abdominal pain is a common symptom of a vaso-occlusive crisis in sickle cell anemia. This pain is due to the obstruction of blood flow in the small vessels of the abdomen, leading to tissue
ischemia and pain.
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