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    Ati rn 302 paediatrics proctored exam
    Select All That Apply

    A nurse is assessing an infant who has heart failure. Which of the following findings should the nurse expect? (Select All that Apply.)

    Explanation & Rationale

    Rationale: A. Increased urinary output is not expected. Infants with heart failure often have decreased urinary output due to reduced renal perfusion. B. Cool extremities occur because of poor circulation and decreased cardiac output. C. Nasal flaring is a sign of respiratory distress, which is common in infants with heart failure. D. Bradycardia is not typical; tachycardia is expected as the heart attempts to compensate for decreased cardiac output. E. Peripheral edema can occur due to fluid retention associated with heart failure.

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