A school-age child is brought to the clinic by a parent who reports that the child becomes short of breath with activity. Which assessment finding would the nurse correlate with this condition?
A.
Bulging fontanels
B.
Elevated brain natriuretic peptide
C.
Peripheral edema
D.
Weight loss
ANS: B
Brain natriuretic peptide (BNP) is a measure of fluid overload, often seen in heart failure. An elevation in the laboratory value indicates that the child is retaining fluids. Bulging fontanels would not be seen in this age group. Children do not have peripheral edema, as is common in adults. Weight gain, not loss, would occur with fluid retention.
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