The nurse is preparing to care for a child with a diagnosis of intussusception. The nurse reviews the child's record and expects to note which sign of this disorder documented?

A. Orthopnea
Explanation:
Orthopnea refers to difficulty breathing that occurs when lying flat. In heart failure, fluid may accumulate in the lungs, leading to respiratory distress when the child is in a supine position. Orthopnea is a common symptom of heart failure in both adults and children.
B. Bradycardia
Explanation: Bradycardia (slow heart rate) is not a typical finding in heart failure. Heart failure often leads to compensatory mechanisms, including an increased heart rate (tachycardia), to maintain cardiac output.
C. Weight loss
Explanation: Weight loss is not a typical finding in heart failure. In fact, heart failure in children may lead to fluid retention and weight gain rather than weight loss.
D. Increased urine output
Explanation: Heart failure in toddlers is more likely to be associated with decreased urine output rather than increased urine output. Reduced cardiac output can result in decreased blood flow to the kidneys, leading to decreased urine production and potential fluid retention. Increased urine output is not a characteristic finding in heart failure.

A."The manifestations are lessened by taking the prednisone every other day instead of daily."
Explanation: Cushingoid characteristics can be related to prolonged corticosteroid use. Adjusting the dosing schedule, such as administering prednisone every other day instead of daily, may help minimize these manifestations.
B."You need to be sure to talk to the doctor about the Cushingoid characteristics."
Explanation: Open communication with the healthcare provider is crucial. Discussing the concerns about Cushingoid characteristics with the doctor allows for appropriate evaluation and potential adjustments to the treatment plan.
C."Which manifestations of this condition do you find most troublesome?"
Explanation: This question opens the discussion to identify specific concerns and allows the nurse to address them individually.
D."I am sure it will be all right; they hardly look unusual."
Explanation: This statement may downplay the parents' concerns. It's essential to acknowledge their worries and provide accurate information about the potential impact of corticosteroids and the plan for managing Cushingoid characteristics.
E."The Cushingoid appearance will gradually disappear once the corticosteroids are tapered and discontinued."
Explanation: Cushingoid characteristics are associated with the side effects of corticosteroid use. The nurse should provide reassurance that, in many cases, these characteristics can gradually improve once the corticosteroid dose is tapered and eventually discontinued.