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A nurse is caring for a school-age child who has heart failure. Which of the following findings should the nurse expect?Select all that apply.

Cyanosis

Weight loss

Bounding peripheral pulses

Dyspnea

Tachycardia

Answer and Explanation

Correct Answer : A,D,E

Rationale:

A. Cyanosis can occur in children with heart failure due to inadequate oxygenation of tissues.

B. Weight gain or fluid retention is more common in children with heart failure.

C. Bounding pulses are more commonly associated with conditions such as hypertension or hyperthyroidism, rather than heart failure.

D. Dyspnea, or difficulty breathing, is a common symptom of heart failure due to fluid buildup in the lungs.

E. Tachycardia, or a rapid heart rate, can occur as a compensatory mechanism in response to decreased cardiac output in heart failure.

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Correct Answer is A

Explanation

Rationale:

A. A child with cystic fibrosis needs a high-calorie diet to meet their nutritional needs and prevent malnutrition.

B. Sweat chloride testing is used to diagnose cystic fibrosis, not to monitor its progression.

C. Chewing pancrelipase medication before eating is incorrect. Pancrelipase should be swallowed whole with meals to aid in digestion.

D. Administering dornase alfa every 4 hours for wheezing is not appropriate. Dornase alfa is typically used for cystic fibrosis to help thin mucus and improve lung function, but it is not indicated for wheezing, and the dosing frequency provided is incorrect.

A. Creatinine 1.4 mg/dL (0.2 to 0.5 mg/dL) B. Creatinine 0.3 mg/dL (0.2 to 0.5 mg/dL) C. BUN 12 mg/dL (5 to 18 mg/dL) D. BUN 6 mg/dL (5 to 18 mg/dL)

Correct Answer is A

Explanation

Rationale:

A. An elevated creatinine level may indicate kidney dysfunction, which is a potential adverse effect of gentamicin therapy. It should be reported to the provider for further evaluation.

B. A creatinine level within the normal range is expected.

C. BUN within the normal range is expected.

D. BUN within the normal range is expected.

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A nurse is caring for a school-age child who has heart failure. Which of the following findings should the nurse expect?Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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