The nurse is assessing an infant with congestive heart failure (CHF). The nurse hears rales and rhonchi, observes nasal flaring and restlessness, and finds that the oxygen saturation is falling. What does the nurse most suspect?

Question

Quizplus · Accepted Answer

The symptoms described, such as rales and rhonchi (indicative of fluid in the lungs), nasal flaring, restlessness, and falling oxygen saturation, are consistent with congestive heart failure (CHF) where there is an increase in lung fluid due to the heart's inability to pump effectively. This can also be related to a congenital heart defect in infants, which can lead to CHF.

The Nurse Is Assessing an Infant with Congestive Heart Failure