Which nursing assessments are important when evaluating an infant with heart failure?
(Select All that Apply.)

Monitoring for tachycardia

Observing for diaphoresis during feeding

Monitoring for polyuria

Checking for hyperthermia

Assessing for hepatomegaly

Evaluating feeding difficulties

Answer and Explanation

Correct Answer : A,B,E,F

A. Monitoring for tachycardia – Correct. Tachycardia is an early sign of heart failure as the heart attempts to compensate for decreased cardiac output.

B. Observing for diaphoresis during feeding – Correct. Infants with heart failure often exhibit sweating while feeding due to increased effort and oxygen demand.

C. Monitoring for polyuria – Incorrect. Infants with heart failure are more likely to have oliguria due to poor perfusion, not excessive urination.

D. Checking for hyperthermia – Incorrect. Fever is not a primary sign of heart failure unless an infection is present.

E. Assessing for hepatomegaly – Correct. Hepatomegaly occurs due to systemic venous congestion, a hallmark of right-sided heart failure.

F. Evaluating feeding difficulties – Correct. Poor feeding and failure to thrive are common in infants with heart failure due to fatigue and respiratory distress.

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Correct Answer is ["B","C","D"]

Explanation

A. Orthopedic surgeon – Incorrect. Retinoblastoma does not require orthopedic intervention.

B. Radiation oncologist – Correct. Radiation therapy is a common treatment for retinoblastoma.

C. Nutritionist – Correct. Proper nutrition is important during cancer treatment to maintain the child's strength and immune function.

D. Play therapist – Correct. A play therapist helps young children cope with medical procedures and emotional distress.

E. Audiologist – Incorrect. Retinoblastoma does not typically affect hearing unless chemotherapy causes ototoxicity, which is less common.

A. treat bacterial infections B. promote coughing and clear secretions C. reduce pain and fever D. prevent liver damage

Correct Answer is D

Explanation

A. Treat bacterial infections – Incorrect. N-acetylcysteine is not an antibiotic.

B. Promote coughing and clear secretions – Incorrect. This describes its use in cystic fibrosis as a mucolytic, not in acetaminophen toxicity.

C. Reduce pain and fever – Incorrect. Acetaminophen, not N-acetylcysteine, is used for pain and fever.

D. Prevent liver damage – Correct. N-acetylcysteine replenishes glutathione stores, which helps detoxify acetaminophen metabolites that cause hepatotoxicity.

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Which nursing assessments are important when evaluating an infant with heart failure? (Select All that Apply.)

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["B","C","D"]

Explanation

The nurse understands the rationale for utilizing N-acetylcysteine for acetaminophen ingestions in children is to:

Correct Answer is D

Explanation

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Which nursing assessments are important when evaluating an infant with heart failure?
(Select All that Apply.)