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    Ati rn pediatric 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. Tachypnea: Infants with congestive heart failure often develop tachypnea due to pulmonary congestion and fluid accumulation in the lungs. The increased work of breathing reflects the heart’s inability to pump effectively, leading to respiratory distress. B. Bradycardia: Bradycardia is not typical in infants with heart failure. Instead, they are more likely to develop tachycardia as a compensatory mechanism to maintain cardiac output when the heart’s pumping ability is reduced. C. Increased urine output: Heart failure usually leads to decreased renal perfusion, resulting in oliguria or decreased urine output. Increased urine output would not be expected in this condition. D. Increased blood pressure: Infants with heart failure often present with hypotension due to poor cardiac output. Elevated blood pressure is not a usual finding and would not indicate worsening heart failure in this age group.

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