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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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View Related questions

Correct Answer is C

Explanation

A. Clients on digoxin should actually have an adequate intake of potassium, as low potassium levels can increase the risk of digoxin toxicity.

B. If a pediatric client spits out digoxin, the dose should not be repeated automatically; instead, the nurse should assess the situation and follow the facility's protocol regarding missed doses.

C. Measuring the apical pulse for one full minute before administering digoxin is critical; if the pulse is below the established threshold (usually <60 bpm for children), the medication should be held and the provider notified.

D. While evaluating for nausea, vomiting, and anorexia is important, it is not an appropriate immediate action before administering the medication. The priority action is to assess the apical pulse.

Correct Answer is C

Explanation

A. While constipation can be a side effect of iron supplements, taking them between meals is primarily aimed at improving absorption rather than preventing constipation.

B. Taking iron supplements with food does not specifically increase the risk of esophagitis; instead, it is known to interfere with the absorption of iron.

C. Taking ferrous sulfate between meals optimizes its absorption because food, particularly dairy products, caffeine, and some high-fiber foods, can inhibit the absorption of iron.

D. Although iron supplements can cause nausea, it is more effective to take them between meals for better absorption rather than solely to prevent nausea.

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