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.
Tachycardia
Dyspnea
Weight loss
Cyanosis
Bounding peripheral pulses
Correct Answer : A,B,D
A. Tachycardia: Tachycardia (increased heart rate) is a common compensatory mechanism in heart failure as the heart tries to pump more effectively.
B. Dyspnea: Dyspnea is a common symptom of heart failure due to fluid accumulation in the lungs.
C. Weight loss: Weight gain, rather than weight loss, is more commonly associated with heart failure due to fluid retention. Therefore, weight loss is not an expected finding.
D. Cyanosis: Cyanosis can occur in heart failure due to poor oxygenation and circulation.
E. Bounding peripheral pulses: Bounding peripheral pulses are not typically associated with heart failure. Heart failure often results in weak or thready pulses due to poor cardiac output.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "Leads will be placed on your child's back prior to the procedure." ECG leads are typically placed on the chest, arms, and legs, not on the back. This statement would be inaccurate and could confuse the parent.
B. "This procedure will take at least 30 minutes to complete." An ECG is a relatively quick procedure, usually taking about 5 to 10 minutes. This statement is misleading regarding the duration of the test.
C. "Your child can rest on your lap during the procedure." Allowing the child to rest on the parent’s lap can help the child feel more secure and calm during the procedure, which can help in obtaining an accurate ECG reading. This statement provides accurate and helpful information.
D. "An alarm will sound if your child has an abnormal heart rhythm."An ECG machine does not have an alarm for abnormal rhythms during the test. It simply records the heart's electrical activity for later interpretation by a healthcare provider.
Correct Answer is D
Explanation
A. Inform the client to contact the pharmacy regarding any questions related to the medication. While pharmacists can provide additional information, the nurse should ensure the adolescent understands the medication instructions and has immediate answers to any questions during the teaching session.
B. Provide instructions to the client's parent with the client present. Adolescents may be more comfortable discussing sensitive topics such as STIs privately. The primary teaching should be directed to the adolescent to respect their autonomy and privacy.
C. Instruct the client's parents to write down the information that is being provided. This is not appropriate for an adolescent who is capable of understanding their own medical information. The focus should be on ensuring the adolescent comprehends the information.
D. Ask how the client prefers to learn new information. Correct. Asking the adolescent how they prefer to learn new information helps tailor the education to their learning style, making it more effective and respectful of their preferences.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.