The nurse is collecting data on a 2 month-old-child with left-sided congestive heart failure. Which clinical manifestation would support this diagnosis of left-sided congestive heart failure?

Edema in the lower extremities

Ascites

Shortness of breath

Hepatomegaly

Answer and Explanation

The Correct Answer is C

A. Edema in the lower extremities:
Incorrect: Edema in the lower extremities is more characteristic of right-sided heart failure. In left-sided failure, pulmonary congestion is more prominent.
B. Ascites:
Incorrect: Ascites, or fluid accumulation in the abdominal cavity, is also more commonly associated with right-sided heart failure.
C. Shortness of breath:
Correct Answer: Left-sided congestive heart failure can lead to pulmonary congestion, resulting in difficulty breathing or shortness of breath. This is often observed as increased work of breathing, rapid breathing, or other signs of respiratory distress in infants.
D. Hepatomegaly:
Incorrect: Hepatomegaly, or enlargement of the liver, is another manifestation more commonly associated with right-sided heart failure.

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Correct Answer is B

Explanation

A. "I will limit my child's fluid intake."
Incorrect: Limiting fluid intake is not typically recommended for children with CF. Maintaining hydration is important, especially since individuals with CF may have increased salt losses in sweat.
B. "We will give our child pancreatic enzymes with snacks and meals."
Correct Answer: This response indicates an understanding of the importance of giving pancreatic enzymes to assist with digestion, as individuals with CF often have pancreatic insufficiency. Pancreatic enzymes help in the absorption of nutrients from food.
C. "We will restrict the amount of salt in our child's food."
Incorrect: While it's true that individuals with CF may need to increase their salt intake due to increased salt losses in sweat, this response suggests restricting salt, which is not in line with the nutritional needs of a child with CF.
D. "I will prepare low-fat meals with limited protein for my child."
Incorrect: Children with CF often need a higher calorie intake, including healthy fats and adequate protein. Restricting fat and protein is not in line with the nutritional needs of a child with CF.

A. That lethargy and vomiting are normal with mumps B. To continue to monitor the child C. To bring the child to the clinic to be seen by the pediatrician D. That there is nothing to be concerned about as long as there is no fever

Correct Answer is C

Explanation

A. That lethargy and vomiting are normal with mumps:
Incorrect: Lethargy and vomiting are not typical symptoms of mumps. These symptoms could indicate a separate issue that requires medical attention.
B. To continue to monitor the child:
Incorrect: Given the reported symptoms of lethargy and vomiting, a passive approach of continuing to monitor may delay necessary medical intervention. The child should be assessed promptly.
C. To bring the child to the clinic to be seen by the pediatrician:
Correct Answer: Lethargy and vomiting are not typical symptoms of uncomplicated mumps. These symptoms could be indicative of other issues, and it's important for the pediatrician to evaluate the child to determine the cause and provide appropriate care.
D. That there is nothing to be concerned about as long as there is no fever:
Incorrect: While fever is a common symptom of mumps, the absence of fever does not negate the need for further evaluation when there are concerning symptoms like lethargy and vomiting. The child should be seen by a healthcare provider to determine the cause of these symptoms.

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The nurse is collecting data on a 2 month-old-child with left-sided congestive heart failure. Which clinical manifestation would support this diagnosis of left-sided congestive heart failure?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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