An infant is admitted to the pediatric unit with heart failure due to a congenital heart defect. What assessment finding would the nurse expect with this diagnosis?

Polyuria

Difficulty feeding

Bradycardia

Bradypnea

Answer and Explanation

The Correct Answer is B

A. Polyuria is not commonly associated with heart failure in infants; they are more likely to have oliguria or reduced urine output.

B. Difficulty feeding is a common sign of heart failure in infants because the increased work of breathing and poor cardiac output make it hard for them to feed effectively.

C. Bradycardia is not typically associated with heart failure; tachycardia is more common as the heart tries to compensate for decreased cardiac output.

D. Bradypnea is uncommon in heart failure; tachypnea is a more likely symptom due to fluid overload and poor oxygenation.

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Correct Answer is A

Explanation

A. Acetaminophen can be used to manage mild discomfort after cardiac catheterization. It is a safe option for pain relief and is commonly recommended for children following the procedure.

B. Bed rest is typically recommended for a shorter duration, often 24 hours, not a full week. Extended bed rest is not usually required unless complications occur.

C. The diet should be advanced as tolerated, but there is no specific requirement to wait 24 hours; this will depend on the child’s recovery and tolerance.

D. Bathing recommendations often include avoiding submerging the site in water, so a tub bath may not be advised for the first few days to prevent infection. Sponge baths might be recommended instead.

A. Notify the provider. B. Provide oral rehydration fluids. C. Perform a bladder scan at the bedside. D. Continue to monitor the client.

Correct Answer is D

Explanation

A. There is no need to notify the provider if urine output is within the normal range.

B. Oral rehydration may not be necessary if the child is adequately hydrated.

C. A bladder scan is not required if the urine output is within the normal range.

D. Continue to monitor the client as the urine output is within the normal range. For a 3-year-old child (15 kg), normal urine output is 1-2 mL/kg/hr. This child’s output is approximately 1.3 mL/kg/hr, which is normal.

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An infant is admitted to the pediatric unit with heart failure due to a congenital heart defect. What assessment finding would the nurse expect with this diagnosis?

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Naxlex Comprehensive Predictor Exams

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Explanation

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