CCRN Critical Care Nursing

Category - Pediatrics

Which of the following would be an indicative of impending heart failure among infants:
  1. notable increased in urinary output
  2. shallow and grunting respirations
  3. distended jugular vein
  4. Dyspnea and tachycardia
Explanation
Answer: D - Dyspnea and tachycardia are signs that occur in infants if there’s an impaired myocardial function. It is directly related to sympathetic stimulation. Note that the pulse is elevated even when the infant is at rest. There will be a decreased urinary output; abdominal respirations would be a late sign that occurs when pulmonary congestion sits in; neck vein distention is only seen in adult clients.
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