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) Hyperactivity is not typically associated with a postictal state after a seizure.
Instead, the child may appear lethargic or drowsy.
B) Nystagmus, or rapid, involuntary eye movements, is not typically seen in the postictal state following a seizure.
C) Apnea, or cessation of breathing, may occur during the seizure itself but is not typically a postictal finding.
D) Amnesia, or memory loss, is a common postictal finding after a seizure, particularly in complex partial seizures or psychomotor seizures.
Correct Answer is D
Explanation
A. Allowing a toddler to button up their own shirt can be frustrating for them as they may not have developed the fine motor skills required for this task, leading to potential distress.
B. Asking toddlers questions that require a "yes" or "no" answer can limit their language development as it does not encourage them to use language expressively.
C. While providing opportunities to share toys with others is important for social development, it is not the most critical aspect of care in this context.
D. Ensuring the toddler has at least one nap during the day is crucial as toddlers need ample sleep for proper development and to prevent overtiredness, which can affect their mood and behavior.
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