The nurse is caring for a child with heart failure (CHF).Which clinical manifestations does the nurse anticipate when assessing this child? Select all that apply.
A) Shortness of breath
B) Weight loss
C) Bradycardia
D) Tachycardia
E) Increased blood pressure

Question

Quizplus · Accepted Answer

A) Tachycardia is a sign of CHF because the heart attempts to improve cardiac output by beating faster. Shortness of breath is caused by pulmonary congestion. Bradycardia is a serious sign and can indicate impending cardiac arrest, but is not a typical assessment finding in a client with CHF. Blood pressure does not increase in CHF, and the weight, instead of decreasing, increases because of retention of fluids.
B) Tachycardia is a sign of CHF because the heart attempts to improve cardiac output by beating faster. Shortness of breath is caused by pulmonary congestion. Bradycardia is a serious sign and can indicate impending cardiac arrest, but is not a typical assessment finding in a client with CHF. Blood pressure does not increase in CHF, and the weight, instead of decreasing, increases because of retention of fluids.
C) Tachycardia is a sign of CHF because the heart attempts to improve cardiac output by beating faster. Shortness of breath is caused by pulmonary congestion. Bradycardia is a serious sign and can indicate impending cardiac arrest, but is not a typical assessment finding in a client with CHF. Blood pressure does not increase in CHF, and the weight, instead of decreasing, increases because of retention of fluids.
D) Tachycardia is a sign of CHF because the heart attempts to improve cardiac output by beating faster. Shortness of breath is caused by pulmonary congestion. Bradycardia is a serious sign and can indicate impending cardiac arrest, but is not a typical assessment finding in a client with CHF. Blood pressure does not increase in CHF, and the weight, instead of decreasing, increases because of retention of fluids.
E) Tachycardia is a sign of CHF because the heart attempts to improve cardiac output by beating faster. Shortness of breath is caused by pulmonary congestion. Bradycardia is a serious sign and can indicate impending cardiac arrest, but is not a typical assessment finding in a client with CHF. Blood pressure does not increase in CHF, and the weight, instead of decreasing, increases because of retention of fluids.

The Nurse Is Caring for a Child with Heart Failure