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

Answer and Explanation

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.

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Correct Answer is C

Explanation

Rationale:

A) Peanut butter is not a rapidly absorbed source of glucose and may not be appropriate for treating hypoglycemia.

B) While rechecking the child's blood glucose level is important, immediate treatment should be initiated for symptomatic hypoglycemia.

C) Administering a rapidly absorbed source of sugar, such as 1 tablespoon of sugar or honey, is the priority intervention for treating hypoglycemia in a conscious child.

D) Documenting the incident is important but should not delay the administration of treatment for hypoglycemia.

A. The parent of the adolescent parent B. The adolescent parent C. The infant's provider D. The adult sibling of the adolescent parent

Correct Answer is B

Explanation

Rationale:

A) The parent of the adolescent parent may not have legal authority over the infant's medical decisions.

B) An emancipated adolescent parent typically has the legal authority to provide consent for their child's medical procedures.

C) The infant's provider cannot provide consent on behalf of the adolescent parent.

D) The adult sibling of the adolescent parent does not have legal authority unless designated as a legal guardian.

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A nurse is collecting data from a toddler who has heart failure. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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