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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 B

Explanation

A. A stool fat content analysis can suggest malabsorption issues but does not specifically confirm cystic fibrosis.

B. The sweat chloride test measures the amount of chloride in the sweat, with elevated levels confirming a diagnosis of cystic fibrosis.

C. Pulmonary function tests assess lung function but are not definitive for diagnosing cystic fibrosis.

D. A sputum culture can identify respiratory infections but is not specific for cystic fibrosis diagnosis.

Correct Answer is D

Explanation

A. Administering antibiotics is not appropriate as Kawasaki disease is not caused by a bacterial infection; it is an inflammatory condition.

B. While monitoring for signs of coronary artery aneurysms is essential, the immediate intervention needed in the initial phase is to administer IVIG to mitigate inflammation and prevent complications.

C. Providing comfort measures for peeling skin is supportive but does not address the critical treatment needs in Kawasaki disease.

D. Administering intravenous immunoglobulin (IVIG) is the priority nursing intervention as it helps reduce inflammation and the risk of developing cardiovascular complications associated with Kawasaki disease.

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