Author Question: Heart failure (HF) is a problem after the child has had a congenital heart defect repaired. The ... (Read 141 times)

newyorker26 · **on:** Jun 28, 2018

Heart failure (HF) is a problem after the child has had a congenital heart defect repaired. The nurse knows a sign of HF is what?

a. Wheezing
b. Increased blood pressure
c. Increased urine output
d. Decreased heart rate

Question 2

A parent asks the nurse about negativism in toddlers. What is the most appropriate recommendation?

a. Punish the child.
b. Provide more attention.
c. Ask child not to always say no.
d. Reduce the opportunities for a no answer.

cegalasso · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: A
A clinical manifestation of heart failure is wheezing from pulmonary congestion. The blood pressure decreases, urine output decreases, and heart rate increases.

Answer to Question 2

ANS: D
The nurse should suggest to the parent that questions should be phrased with realistic choices rather than yes or no answers. This provides a sense of control for the toddler and reduces the opportunity for negativism. Negativism is not an indication of stubbornness or insolence and should not be punished. The negativism is not a function of attention; the child is testing limits to gain an understanding of the world. The toddler is too young to comply with requests not to say no.