Which action should the nurse implement for an infant who ...

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Which action should the nurse implement for an infant who develops heart failure?
 
  A) Restricting daily milk intake
  B) Keeping in a supine position
  C) Planning ways to reduce salt intake
  D) Placing in a semi-Fowler's position

Question 2

The nurse is assessing the heart rate of a child with a congenital heart defect. What should the nurse document when a pulse of one strong beat and one weak beat is assessed?
 
  A) Dicrotic pulse
  B) Thready pulse
  C) Pulsus alternans
  D) Water hammer pulse

[lauravaras]

Answer to Question 1

D
Feedback:
Most children with heart failure feel more comfortable in a semi-Fowler's position than in a supine position because the chest-elevated position lowers the abdominal contents, enlarging the thoracic cavity and allowing easier, more comfortable lung expansion. A child with heart failure does not need a milk restriction. The supine position will not help with lung expansion. An infant does not have a significant intake of salt.

Answer to Question 2

C
Feedback:
Pulsus alternans is a pulse of one strong beat and one weak beat. Dicrotic pulse is a double radial pulse for every apical beat. Thready pulse is weak and usually rapid. Water hammer pulse is very forceful and bounding with capillary pulsations apparent even in the fingernails.

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Excellent

[EAN94]

TYSM