The nurse is assisting in planning care for a child.
Which of the following interventions should the nurse plan to include?

Choice A rationale

Bounding peripheral pulses are characteristic of conditions like patent ductus arteriosus or hyperdynamic circulation, not heart failure. Heart failure often causes reduced cardiac output, resulting in weaker pulses. Peripheral vasoconstriction may occur as a compensatory mechanism.

Choice B rationale

Increased blood pressure is not typical in infants with heart failure. Instead, reduced cardiac output usually leads to hypotension or low systolic pressure. Hypertension is more associated with renal disorders or endocrine dysfunctions.

Choice C rationale

Tachycardia is a common manifestation of heart failure as the heart attempts to compensate for diminished cardiac output. Increased heart rate aids in maintaining adequate systemic circulation despite impaired myocardial function.

Choice D rationale

Increased urinary output is inconsistent with heart failure. Reduced cardiac output causes diminished renal perfusion, leading to decreased urine production or potential fluid retention and edema.

Choice A rationale

Obtaining daily weights is vital for monitoring fluid status and nutritional health, especially in children prone to rapid physiological changes. It provides insight into trends such as dehydration, edema, or growth concerns.

Choice B rationale

Blood pressure every 8 hours is a less frequent monitoring intervention and may not be sufficient for detecting acute changes. Vital signs often require more regular assessment in pediatric care.

Choice C rationale

Maintaining seizure precautions ensures immediate response readiness for children with neurological risks or past seizure history. It involves safeguards like padded bed rails and accessible emergency equipment to mitigate injury risks during seizures.

Choice D rationale

Sodium-restricted diets are less commonly applied in pediatric cases unless specifically indicated for conditions like nephrotic syndrome or severe hypertension. Routine care does not involve universal dietary sodium modifications.

Choice E rationale

Strict bed rest may lead to deconditioning and is only suitable for specific diagnoses necessitating immobility. Pediatric care often promotes movement within safe limits to prevent complications like pressure injuries.