A 10-year-old boy has been seen frequently at the school clinic ...

[wenmo]

A 10-year-old boy has been seen frequently at the school clinic for somatic complaints, such as stomachache and fatigue. The mother reports that recently he has begun bedwetting. The nurse suspects that this child:
 
  a. Does not like school
  b. Has not been getting adequate rest
  c. Is a victim of bullying
  d. Is exhibiting signs of a learning disability

Question 2

The nurse knows that one of the most likely symptoms of congestive heart failure (CHF) in infants is:
 
  1. Jugular vein distention (JVD).
   2. Decreased blood pressure.
   3. Periorbital edema.
   4. Diaphoresis with feedings.

[AngeliqueG]

Answer to Question 1

C
The symptoms are consistent with those typically seen in victims of bullying.

Answer to Question 2

4
Feedback
1. JVD is not a symptom of CHF in infants.
2. Increased, not decreased, blood pressure is an indicator of CHF.
3. Although periorbital edema occurs in infants with prolonged CHF, it is not a likely symptom of CHF.
4. This is the most common symptom due to sympathetic stimulation.

[wenmo]

Thanks for the timely response, appreciate it

[amit]

Excellent