A nurse is teaching home care to the parents of a preschool-age child who has heart failure.
Which of the following information should the nurse include in the teaching?
Increase the child's oxygen flow rate until the child no longer has cyanosis.
Weigh the child once each month.
Withhold digoxin if the child's pulse is greater than 100/min.
Provide for periods of rest.
The Correct Answer is D
Provide for periods of rest.
Children with heart failure may have trouble breathing, especially with activity, and may feel tired.
It is important for them to have periods of rest to help manage their symptoms.
Choice A is wrong because increasing the child’s oxygen flow rate should be done under the guidance of a healthcare provider.
Choice B is wrong because it is important to monitor the child’s weight more frequently than once a month.
Choice C is wrong because digoxin is a medication that can help the heart beat stronger with a more regular rhythm and should not be withheld based on pulse rate alone.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A decrease in peripheral edema is an indication that the furosemide medication is effective.
Furosemide is a diuretic that helps to reduce fluid buildup in the body, including peripheral edema, which is a common symptom of heart failure.
Choice B is wrong because furosemide does not directly decrease cardiac output.
Choice C is wrong because furosemide does not increase venous pressure.
Choice D is wrong because furosemide can actually cause a decrease in potassium levels, not an increase.
Correct Answer is A
Explanation
Muscle rigidity following an appendectomy could be a sign of a serious complication such as peritonitis and should be reported to the provider immediately.
Choice B is wrong because abdominal pain is a common occurrence following an appendectomy and may not necessarily require immediate attention from the provider.
Choice C is wrong because a temperature of 36.4° C (97.5° F) is within the normal range.
Choice D is wrong because a heart rate of 63/min is within the normal range for an adolescent.
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