A child has been admitted to the hospital unit in congestive heart failure (CHF). Which symptom related to this admission diagnosis would the nurse expect?
1. Weight loss
2. Bradycardia
3. Tachycardia
4. Increased blood pressure
3
Rationale:
1. Instead of decreasing, weight increases, because of retention of fluids.
2. Bradycardia is a serious sign, and can indicate impending cardiac arrest.
3. Tachycardia is a sign of congestive heart failure (CHF), because the heart attempts to improve cardiac output by beating faster.
4. Blood pressure does not increase in CHF.
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