A nurse is collecting data from a toddler who has heart failure. Which of the following findings should the nurse expect?
Weight loss of 0.9 kg (2 lb)
Heart rate 65/min
Bounding peripheral pulses
Decreased urine output
The Correct Answer is D
Rationale:
A) Weight loss is not typically expected in heart failure; fluid retention and weight gain are more common.
B) A heart rate of 65/min may be within the normal range for a toddler and does not specifically indicate heart failure.
C) Bounding peripheral pulses are not typically associated with heart failure; weak pulses may be more indicative.
D) Decreased urine output can occur in heart failure due to reduced cardiac output and poor renal perfusion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A) Increasing carbohydrate intake when sick can disrupt blood sugar control and should be done cautiously under the guidance of a healthcare provider.
B) Omitting the bedtime snack can lead to overnight hypoglycemia, especially in children with diabetes who are at risk for low blood sugar during the night.
C) While proteins are part of a balanced diet, the main focus of a child's meal plan with diabetes should be on balancing carbohydrates with proteins and fats for better blood sugar control.
D) Including a snack before physical activity helps prevent hypoglycemia during exercise by providing additional carbohydrates to fuel the activity.
Correct Answer is B
Explanation
Rationale:
A) Heliox may be used in the management of severe asthma exacerbations, but albuterol via nebulizer is typically administered first for rapid bronchodilation.
B) Albuterol is a short-acting beta agonist bronchodilator used as the first-line treatment in acute asthma exacerbations to relieve bronchospasm and improve airflow.
C) Prednisone, an oral corticosteroid, may be indicated in the treatment of status asthmaticus, but it is not the first medication administered.
D) 0.9% sodium chloride via IV bolus is not indicated as the initial treatment for status asthmaticus.
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