A nurse is assessing a toddler diagnosed with congenital heart disease. Which symptom should the nurse prioritize as a sign of heart failure in children?
"Decreased appetite and difficulty sleeping"
"Rapid growth and development milestones achieved ahead of schedule"
"Decreased heart rate and low blood pressure"
"Frequent episodes of irritability and excessive crying"
The Correct Answer is A
A) Correct answer. Decreased appetite and difficulty sleeping are common signs of heart failure in children with congenital heart diseases. Heart failure can lead to poor circulation, decreased cardiac output, and inadequate oxygenation, resulting in reduced appetite and difficulty sleeping due to increased effort in breathing.
B) This option is incorrect. Rapid growth and development milestones achieved ahead of schedule are not indicative of heart failure in children with congenital heart diseases.
C) This option is incorrect. Decreased heart rate and low blood pressure may be signs of cardiovascular compromise, but they are not specific to heart failure.
D) This option is incorrect. Frequent episodes of irritability and excessive crying may be present in infants with heart defects, but they are not specific to heart failure in toddlers.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A"]
Explanation
A. This statement indicates a misunderstanding. Congenital heart diseases are present at birth and are not caused by infections, lifestyle factors, or events during childhood. This shows the client needs further education.
B. This statement is accurate because congenital heart diseases are structural or functional heart problems present from birth.
C. This statement is correct. Some congenital heart defects can be detected before birth using fetal echocardiography.
D. This statement is correct. Management of congenital heart diseases can include medications, surgical interventions, or other medical treatments depending on the condition.
Correct Answer is A
Explanation
A) Correct answer. Decreased appetite and difficulty sleeping are common signs of heart failure in children with congenital heart diseases. Heart failure can lead to poor circulation, decreased cardiac output, and inadequate oxygenation, resulting in reduced appetite and difficulty sleeping due to increased effort in breathing.
B) This option is incorrect. Rapid growth and development milestones achieved ahead of schedule are not indicative of heart failure in children with congenital heart diseases.
C) This option is incorrect. Decreased heart rate and low blood pressure may be signs of cardiovascular compromise, but they are not specific to heart failure.
D) This option is incorrect. Frequent episodes of irritability and excessive crying may be present in infants with heart defects, but they are not specific to heart failure in toddlers.
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