A nurse is assessing an infant who has congestive heart failure. Which of the following findings should the nurse expect?
Increased urine output
Bradycardia
Increased blood pressure
Tachypnea
The Correct Answer is D
A. Increased urine output. Infants with congestive heart failure (CHF) often have decreased urine output due to reduced kidney perfusion caused by poor cardiac function.
B. Bradycardia. CHF is more likely to cause tachycardia as the heart compensates for poor circulation.
C. Increased blood pressure. CHF in infants typically leads to hypotension or normal blood pressure rather than an increase.
D. Tachypnea. Increased respiratory rate (tachypnea) is a common sign of CHF in infants because of fluid overload and pulmonary congestion, which make breathing difficult.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Wear a face mask when working within 3 feet of a child who is infected." Influenza spreads through droplets, so wearing a face mask within 3 feet of an infected child helps prevent transmission.
B. "Administer antibacterial medication within 24 hr of the onset of symptoms." Influenza is caused by a virus, not bacteria, so antibacterial medications (antibiotics) are not effective. Antiviral medications (e.g., oseltamivir) may be given within 48 hours of symptom onset.
C. "Children should be considered infectious for 14 days after the onset of symptoms." . Children with influenza are most contagious 1 day before symptoms appear and up to 5 to 7 days after onset.
D. "Administer the influenza vaccine every 6 months." The influenza vaccine is given annually (once per year), not every 6 months.
Correct Answer is B
Explanation
A. "The blood pressure medicine I'm taking will help to keep my insulin level low." This is incorrect. Blood pressure medications do not regulate insulin levels.
B. "I will increase my food intake before I exercise." Exercise can lower blood glucose levels, increasing the risk of hypoglycemia. Eating a snack before exercise helps prevent this.
C. "As long as I take my insulin, I can eat whatever I want." Proper dietary management is essential in diabetes to maintain stable blood glucose levels.
D. "As I get older, my sugar levels will automatically decrease." Blood glucose levels require active management and do not decrease automatically with age.
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