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A nurse is assessing a toddler who has heart failure. Which of the following findings should the nurse expect?

A.

Bradycardia

B.

Weight loss

C.

Orthopnea

D.

Increased urine output

Answer and Explanation

The Correct Answer is C

A. Bradycardia is not typically expected in toddlers with heart failure; instead, tachycardia (increased heart rate) is more common as the body compensates for decreased cardiac output.  

 

B. Weight loss is generally not a typical finding in toddlers with heart failure; rather, they often experience weight gain due to fluid retention.  

 

C. Orthopnea, or difficulty breathing when lying flat, is a common symptom of heart failure and would be expected in a toddler due to fluid overload affecting respiratory function. 

 

D. Increased urine output is usually not expected in heart failure; rather, fluid retention often leads to decreased urine output as the kidneys respond to the body's fluid balance needs.


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Correct Answer is C

Explanation

A. Secondary prevention involves early detection and prompt intervention in health issues that have already occurred; providing education about stress does not fall under this category.

B. Suicide prevention is a specific aspect of mental health care and is not directly related to general stress education.

C. Primary prevention aims to prevent the onset of health issues and promote health and well-being, making the education on stress and its effects a form of primary prevention.

D. Tertiary prevention focuses on rehabilitation and management of existing diseases, which does not apply to teaching about stress effects.

Correct Answer is C

Explanation

A. Monitoring lung function and oxygen saturation is important but not the primary purpose of chest physiotherapy.

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C. Chest physiotherapy is primarily performed to enhance lung function by mobilizing and clearing thick mucus from the airways, which is critical in managing cystic fibrosis and preventing infections.

D. While medications can be administered via nebulization, chest physiotherapy itself is not used for direct medication delivery but rather for airway clearance.

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