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:
Discontinuing antibiotics when the fever has resolved is not an appropriate instruction for a child with infective endocarditis. The full course of antibiotics should be completed.
Choice B reason:
While antibiotics can have side effects, splinter hemorrhages under the child's nails are not a common side effect of antibiotic use for infective endocarditis.
Choice C reason:
Obtaining prophylactic antibiotics for family members is not a standard practice for infective endocarditis.
Choice D reason:
This statement is correct. Antibiotics are needed prior to certain dental procedures for children with infective endocarditis to prevent bacterial endocarditis.
Correct Answer is B
Explanation
Choice A reason:
Biting behavior in a 15-month-old child is developmentally appropriate and not indicative of child maltreatment.
Choice B reason:
Correct. A fracture resulting from a bicycle injury may raise concerns about the child's safety and supervision, and it should be reported for further evaluation.
Choice C reason:
A history of frequent urinary tract infections is a medical concern but does not necessarily indicate child maltreatment.
Choice D reason:
Small bruises on the shins are common in toddlers and are typically the result of normal play and exploration. They are not necessarily indicative of child maltreatment.
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