A nurse is providing care for an infant who has heart failure and is being discharged from the hospital. When providing discharge education. which of the following clinical manifestations should the nurse ensure caregivers are able to identify as signs of worsening heart failure?

Bradycardia, rapid weight gain. and irritability.

Cough. edema. and increased work of breathing.

Abdominal pain. poor appetite. and cough.

Tachypnea and diaphoresis with feeding. poor weight gain, and irritability.

Answer and Explanation

The Correct Answer is D

A. Bradycardia, rapid weight gain, and irritability. – Incorrect. Tachycardia (not bradycardia) is more concerning in worsening heart failure.

B. Cough, edema, and increased work of breathing. – Incorrect. These symptoms can occur but are less specific to worsening heart failure in infants.

C. Abdominal pain, poor appetite, and cough. – Incorrect. While appetite changes may occur, abdominal pain is not a classic sign of heart failure in infants.

D. Tachypnea and diaphoresis with feeding, poor weight gain, and irritability. – Correct. Infants with worsening heart failure experience increased respiratory effort, sweating with feeds (due to exertion), failure to thrive, and fussiness due to poor oxygenation.

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Correct Answer is D

Explanation

A. "Physical therapy will help me build up enough strength to do gymnastics." – Incorrect. Gymnastics is too high-impact for someone with brittle bones.

B. "I should tell my teachers that I cannot participate in physical education class." – Incorrect. Some low-impact activities may be beneficial, and complete avoidance of activity is not necessary.

C. "I can play sports as long as there is minimal contact with other players." – Incorrect. Even minor trauma can result in fractures, making sports risky.

D. "My bones may break easier than other people's, so I need to take precautions." – Correct. This demonstrates awareness of the condition and the importance of avoiding injury.

A. prevents respiratory infections B. improves joint mobility C. decreases pain and inflammation D. increases bone density

Correct Answer is D

Explanation

A. Prevents respiratory infections. – Incorrect. Pamidronate does not affect the risk of infections.

B. Improves joint mobility. – Incorrect. Bisphosphonates do not directly improve joint movement.

C. Decreases pain and inflammation. – Incorrect. While reducing fractures may indirectly decrease pain, the primary goal is to improve bone density.

D. Increases bone density. – Correct. Bisphosphonates like pamidronate inhibit bone resorption and strengthen bones, reducing fractures in osteogenesis imperfecta (brittle bone disease).

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A nurse is providing care for an infant who has heart failure and is being discharged from the hospital. When providing discharge education. which of the following clinical manifestations should the nurse ensure caregivers are able to identify as signs of worsening heart failure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching an adolescent client who has osteogenesis imperfecta about self-care. Which of the following statements made by the client shows that the nurse's teaching has been effective?

Correct Answer is D

Explanation

The nurse understands that the therapeutic action of an Intravenous infusion of Bisphosphonate therapy (pamidronate) in the treatment of Osteogenesis Imperfecta achieves what result? It:

Correct Answer is D

Explanation

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