A child has been admitted to the hospital unit in congestive heart failure (CHF). Which symptom would the nurse anticipate upon assessment of the child?
1. Weight loss
2. Bradycardia
3. Tachycardia
4. Increased blood pressure
Correct Answer: 3
Rationale: Tachycardia is a sign of congestive heart failure because the heart attempts to improve cardiac output by beating faster. Bradycardia is a serious sign and can indicate impending cardiac arrest. 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...
A patient seen in the clinic has symptoms of persistent cough, fever, and night sweats. He recently entered the United States from the Philippines. Which of the following is the most plausible explanation for the patient's condition?
A) Latent tuberculosis B) Bacterial pneumonia C) Active tuberculosis D) Emphysema
A parent asks the school nurse, "How did my child get OCD?" Which theory supports the hypothesis that there is an alteration in serotonin synthesis in the brain of a child with OCD?
1. Genetic 2. Humanistic 3. Psychosocial 4. Behavioral
The nurse is preparing a child for a lumbar puncture. How far ahead of the procedure should the nurse apply the EMLA cream?
A) 30 minutes B) 1 hour C) 3 hours D) 4 hours
A nurse working in an OB/GYN outpatient clinic finds that on a routine anemia screen a pregnant client in her second trimester has a hemoglobin of 10 g/dL and a serum ferritin level of 11 mg/L. The client confirms fatigue, but otherwise feels fine
Which actions by the nurse are appropriate when providing care to this client? Select all that apply. A) Complete a further history and exam to carefully assess for any potential cause of bleeding. B) Review a list of iron-rich foods and explore with the client how she can increase dietary iron. C) Have the client continue her usual daily prenatal vitamin dose. D) Stress the importance of complying with an increase in iron supplementation to 100 mg per day. E) Ask the client to return in 2 months for a repeat check of her serum iron levels. F) Order a screening for sickle cell anemia.