Author Question: The nurse is assessing an infant with congestive heart failure (CHF). Which of the following ... (Read 73 times)

KWilfred · **on:** Jun 27, 2018

The nurse is assessing an infant with congestive heart failure (CHF). Which of the following symptoms would the nurse most likely find in this infant?

a. jugular vein distention c. greatly elevated blood pressure
b. peripheral edema d. diaphoresis during feeding

Question 2

Which of the following behaviors by an infant best exemplifies the beginning of reasoning?

a. crying for food or attention
b. moving any obstacles to find a hidden object
c. saying bye-bye in response to others saying bye-bye
d. blowing kisses or clapping the hands

ky860224 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

D

Feedback
A Incorrect. Jugular vein distention cannot be observed in infants with CHF because of their short necks.
B Incorrect. Peripheral edema is a rare finding in infants with CHF, but when present, it is usually localized to the periorbital area.
C Incorrect. The blood pressure is usually maintained in infants with CHF. Hypotension, rather than hypertension, is a late and ominous sign.
D Correct. An infant with congestive heart failure exhibits diaphoresis during feeding caused by sympathetic stimulation.

Answer to Question 2

B

Feedback
A Incorrect. Crying for food or attention is very basic and occurs in Piaget's first substage of the sensorimotor stage.
B Correct. Object permanence is apparent and demonstrated when the infant actively seeks a hidden object. The beginning of reason is evident when the infant moves any obstacle to uncover a hidden object. Occurs in Piaget's fourth substage of the sensorimotor stage.
C Incorrect. Saying bye-bye in response to others saying bye-bye occurs in Piaget's second substage of the sensorimotor stage.
D Incorrect. Blowing kisses or clapping the hands occurs in Piaget's second substage of the sensorimotor stage.