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    ATI PN Paediatrics Nursing Proctored Exam 2023

    A nurse is reinforcing teaching with a parent of an infant who has a new diagnosis of heart failure.Which of the following findings should the nurse include as an expected manifestation of this disease?

    Explanation & Rationale

    Choice A rationaleBounding peripheral pulses are characteristic of conditions like patent ductus arteriosus or hyperdynamic circulation, not heart failure. Heart failure often causes reduced cardiac output, resulting in weaker pulses. Peripheral vasoconstriction may occur as a compensatory mechanism.Choice B rationaleIncreased blood pressure is not typical in infants with heart failure. Instead, reduced cardiac output usually leads to hypotension or low systolic pressure. Hypertension is more associated with renal disorders or endocrine dysfunctions.Choice C rationaleTachycardia is a common manifestation of heart failure as the heart attempts to compensate for diminished cardiac output. Increased heart rate aids in maintaining adequate systemic circulation despite impaired myocardial function.Choice D rationaleIncreased urinary output is inconsistent with heart failure. Reduced cardiac output causes diminished renal perfusion, leading to decreased urine production or potential fluid retention and edema.

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