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    Ati rn paediatrics nursing 2023 proctored exam

    A nurse is assessing an infant who has congestive heart failure. Which of the following findings should the nurse expect?

    Explanation & Rationale

    A. Bradycardia: Bradycardia is not typical in infants with congestive heart failure (CHF); instead, tachycardia is common as the heart tries to compensate for poor cardiac output. B. Increased blood pressure: While some compensatory mechanisms can transiently affect blood pressure, infants with CHF often have decreased cardiac output, which can lead to normal to decreased blood pressure rather than an increase. C. Increased urine output: Urine output often decreases in CHF because of reduced renal perfusion and activation of compensatory mechanisms like the renin-angiotensin system, leading to fluid retention. D. Tachypnea: Tachypnea is a common finding in infants with CHF as the body attempts to compensate for poor oxygenation and fluid buildup in the lungs, causing rapid breathing and respiratory distress.

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