A nurse in an emergency department is assessing an adolescent who reports inhalation of gasoline.
Which of the following findings should the nurse expect?

Choice A rationale

Tachypnea, or rapid breathing, is a common clinical manifestation of heart failure in children. This occurs because the heart is unable to pump enough blood to meet the body’s needs, causing fluid to back up into the

lungs and leading to shortness of breath and rapid breathing.

Choice B rationale

Contrary to increased appetite, children with heart failure often experience a decrease in appetite or difficulty feeding. This is due to increased energy expenditure and early satiety caused by abdominal distension from hepatomegaly or ascites.

Choice C rationale

Tremors are not typically associated with heart failure. They could be a sign of other neurological conditions, side effects of certain medications, or anxiety.

Choice D rationale

Bradycardia, or a slower than normal heart rate, is not typically a symptom of heart failure. In fact, tachycardia, or a faster than normal heart rate, is more commonly seen in heart failure as the heart tries to compensate for its reduced ability to pump blood.

Choice A rationale

Providing a high-calorie diet is a recommended action for a child who has received partial-thickness burns to

over 50% of his body. After a burn injury, the body needs extra calories and protein to heal, fight infection, and maintain its functions. A high-calorie diet can help meet these increased nutritional needs.

Choice B rationale

Administering analgesics intramuscularly (IM) is not a recommended action for a child with partial- thickness burns. Pain management is crucial in burn care, but analgesics should be given orally or intravenously, not IM, to avoid additional pain and tissue damage.

Choice C rationale

Monitoring intake and output is a recommended action for a child who has received partial-thickness burns to over 50% of his body. This can help assess the child’s hydration status, kidney function, and response to fluid replacement therapy.

Choice D rationale

Removing splints during sleep is not a recommended action for a child with partial-thickness burns. Splints are used to prevent contractures by keeping the joints in a functional position. They should be worn as prescribed by the healthcare provider, which often includes during sleep.

Choice E rationale

Changing dressings using aseptic technique is a recommended action for a child who has received partial- thickness burns to over 50% of his body. This can help prevent infection, promote healing, and assess the burn’s progress.