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. Rye toast
Explanation: Rye contains gluten, so it is not appropriate for individuals with celiac disease. Rye, like wheat and barley, should be avoided.
B. Rice
Explanation:
Celiac disease is a condition characterized by an immune reaction to gluten, a protein found in wheat, barley, and rye. Therefore, individuals with celiac disease need to avoid gluten-containing foods. Rice is naturally gluten-free, making it a suitable and safe option for individuals with celiac disease.
C. Wheat bread
Explanation: Wheat contains gluten, and products made from wheat, including wheat bread, should be strictly avoided by individuals with celiac disease.
D. Oatmeal
Explanation: Oats themselves are gluten-free, but they are often contaminated with gluten during processing. Some individuals with celiac disease can tolerate pure, uncontaminated oats, while others may need to avoid oats altogether. It is important to choose certified gluten-free oats if including them in the diet.

A. Ribbon-like stools B. Profuse projectile vomiting C. Bright red blood and mucus in the stools D. Watery diarrhea

Correct Answer is C

Explanation

A. Ribbon-like stools
Explanation: Ribbon-like or pencil-thin stools are associated with conditions affecting the rectum, such as colorectal cancer, but they are not a typical sign of intussusception.
B. Profuse projectile vomiting
Explanation: Profuse projectile vomiting is not a typical sign of intussusception. Vomiting may occur, but it is not the primary characteristic feature.
C. Bright red blood and mucus in the stools
Explanation:
Intussusception is a condition in which one part of the intestine slides into another, causing a blockage. One of the classic signs of intussusception is the presence of "currant jelly" stools, which are characterized by a mixture of bright red blood and mucus in the stools. This occurs due to the compression of the blood vessels in the intestine, leading to bleeding and mucosal discharge.
D. Watery diarrhea
Explanation: Watery diarrhea is not a typical sign of intussusception. The condition is more commonly associated with abdominal pain, vomiting, and the characteristic "currant jelly" stools.

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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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