The nurse is caring for a child with heart failure (CHF). Which clinical manifestations does the nurse anticipate when assessing this child?
Select all that apply.
A) Shortness of breath
B) Weight loss
C) Bradycardia
D) Tachycardia
E) Increased blood pressure
Answer: A, D
Tachycardia is a sign of CHF because the heart attempts to improve cardiac output by beating faster. Shortness of breath is caused by pulmonary congestion. Bradycardia is a serious sign and can indicate impending cardiac arrest, but is not a typical assessment finding in a client with CHF. Blood pressure does not increase in CHF, and the weight, instead of decreasing, increases because of retention of fluids.
You might also like to view...
The nurse educator is providing education to the staff nurses regarding the use of seclusion in the psychiatric setting. The educator asks the nurses to describe patients who would best benefit from seclusion
Which statements by the nurses would indicate that teaching has been effective? Select all that apply. 1. "The patient who throws a book on the ground in frustration." 2. "The patient who is loud and disrupting the milieu of the unit." 3. "The patient who attempts to cut herself with an object found on the unit." 4. "The patient who hits another patient in the face during a therapy session." 5. "The patient who is confused and disoriented with altered thought processes."
A nurse questions an older patient about the age-related changes she has experienced in her connective tissue, which have lessened her mobility. What do these changes most commonly in-clude? (Select all that apply.)
a. Loss of bone, which may cause fragile bones b. Thickening of the tendons, causing loss of strength c. Bony deposits in the joints, causing pain and altered movement d. Hardening of cartilage, causing more fric-tion in joints e. Diminished energy, causing decreased activity
A patient complains of chronic insomnia and reports being tired of being tired all the time. The patient is reluctant to try pharmacologic remedies and asks the nurse what to do. What will the nurse suggest?
a. "Eat a large meal in the evening to induce drowsiness." b. "Get out of bed for a while if you can't fall asleep." c. "Have a glass of wine at bedtime to re-lax." d. "Take a short nap early in the afternoon every day."
"Soul food" consists of traditional southern African American food and cooking techniques. What is tradition soul food high in?
A) Protein B) Protein and fat C) Fat and cholesterol D) Fiber