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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 A

Explanation

A. A child whose parents consistently answer questions on their behalf may indicate a lack of autonomy and could be a sign of potential abuse or neglect, as it may suggest the parents are controlling or overly involved.

B. A child who has frequent visitors does not inherently suggest abuse; in fact, it could indicate support and care from family or friends.

C. Frequent use of the call light could indicate a child's need for assistance or comfort but does not directly correlate with abuse.

D. A child with a BMI indicating obesity is not a definitive indicator of abuse; it may relate to dietary habits or lifestyle factors rather than abuse.

Correct Answer is A

Explanation

A. Giving pancreatic enzymes before snacks and meals is essential for children with cystic fibrosis to help with digestion and nutrient absorption due to their pancreatic insufficiency.

B. Children with CF often require increased salt intake, especially during hot weather or heavy exercise, due to higher salt losses in sweat.

C. A child with CF typically needs a high-calorie, high-fat diet to meet their energy requirements and to support growth, rather than low-fat meals with limited protein.

D. Limiting fluid intake is not recommended; children with CF often need to stay well-hydrated to help manage thick secretions and promote overall health.

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