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 {"dropdown-group-1":"B","dropdown-group-2":"D"}

Explanation

Hypoxia (Low Oxygen Levels): The child's oxygen saturation has decreased from 95% to 93% on room air, which indicates a decline in oxygenation. Although this level is still within an acceptable range, a further drop could indicate respiratory compromise, especially with signs of labored breathing and a nonproductive cough.

Rationale for incorrect options:

Hypotension: The child's blood pressure remains stable (110/64 mm Hg), ruling out a significant risk of hypotension.

Constipation: While the child has hypoactive bowel sounds and hasn't had a bowel movement in two days, this does not pose the most immediate risk.

Dehydration: The child voided 200 mL of clear, yellow urine, suggesting adequate hydration status.

Correct Answer is ["0.6"]

Explanation

Determine the concentration: The medication is supplied as 40 mg/0.4 mL.

Calculate the mL per mg: 0.4 mL / 40 mg = 0.01 mL/mg

Calculate the volume for 60 mg: 60 mg * 0.01 mL/mg = 0.6 mL

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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 caring for a school-age child who was involved in a motor vehicle crash. Exhibits Complete the following sentence by using the list of options. The child is at highest risk for developing dropdown evidenced by the client’s dropdown.

Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"D"}

Explanation

Correct Answer is ["0.6"]

Explanation

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