A nurse is assessing a child who has heart failure.
Which of the following findings is a clinical manifestation associated with this diagnosis?
Tachypnea
Increased appetite
Tremors
Bradycardia
The Correct Answer is A
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The nurse should initiate droplet isolation precautions when admitting a child who has acute epiglottitis. Epiglottitis is commonly caused by Haemophilus influenzae type B and can be transmitted through respiratory droplets.
Correct Answer is D
Explanation
Choice A rationale
Sealing soft toys in a plastic bag for 14 days is a measure used to control the spread of lice, not impetigo.
Choice B rationale
Soaking hairbrushes in boiling water for 10 minutes is a measure used to disinfect items that may be
contaminated with fungal spores, not bacteria causing impetigo.
Choice C rationale
Acyclovir is an antiviral medication used to treat herpes simplex virus infections, not bacterial infections like impetigo.
Choice D rationale
Applying a bactericidal ointment to lesions is a common treatment for impetigo, which is a bacterial skin infection.
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