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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:
Bryant traction is used in infants with congenital hip dysplasia. It is not a form of skin traction for lower extremity fractures in adolescents.
Choice B reason:
Cervical skin traction is used for cervical spine injuries or surgeries, not for lower extremity fractures.
Choice C reason:
Dunlop traction is used for fractures of the humerus.
Choice D reason:
Buck extension traction is applied to the lower leg and uses a boot on the affected leg with weights to provide traction. It is commonly used for lower extremity fractures in adolescents.
Correct Answer is A
Explanation
Choice A reason:
At 18 months, a toddler should typically be saying more than four words. This finding may
indicate a potential delay in speech development, and it should be reported to the provider for further evaluation.
Choice B reason:
Building a tower of three blocks is an appropriate developmental milestone for an 18-month-old and does not warrant reporting.
Choice C reason:
Temper tantrums are a normal behavior for toddlers, as they are still developing emotional regulation skills. This finding does not require reporting unless it is severe or causing harm to the child.
Choice D reason:
Jumping in place with both feet is an appropriate developmental milestone for an 18-month-old and does not warrant reporting.
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