Difficulty: Medium
Average Score: 93%
Simulated
Passage / Scenario
School-age child with heart failureA nurse is caring for a school-age child who has heart failure. Which of the following findings should the nurse expect? Select all that apply.
Correct answer
A,B,D
Rationale
The correct findings for a child with heart failure are tachycardia (increased heart rate), dyspnea (difficulty breathing), and cyanosis (bluish discoloration of the skin). Tachycardia occurs due to the heart's inability to pump effectively, causing it to beat faster to compensate. Dyspnea results from fluid buildup in the lungs due to the heart's inability to adequately pump blood. Cyanosis is a sign of poor oxygenation in the blood. Weight loss, bounding peripheral pulses, and other choices are typically not expected findings in a child with heart failure. Weight gain due to fluid retention, weak or thready pulses, and other signs of poor perfusion would be more indicative of heart failure.