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Unformatted text preview: tachypnea, profuse scalp sweating, fatigue
and irritability, sudden weight gain, and respiratory distress. A cough may occur in CHF as a result of mucosal swelling and
irritation but is not an early sign. Pallor may be noted in the infant with CHF but is also not an early sign.
CHF ± Crying exhausts the limited energy supply, increases the workload of the heart, and increases the oxygen
demands. Oxygen administration may be prescribed for stressful periods, especially during bouts of crying or invasive
CHF ± The most appropriate method for assessing urine output in an infant receiving diuretic therapy is to weigh the
diapers. Comparing intake with output would not provide an accurate measure of urine output. Measuring the amount of water
added to formula is unrelated to the amount of output. Although Foley catheter drainage is most accurate in determining output,
it is not the most appropriate method in an infant and places the infant at risk for infection.
CHF ± A weight gain of 0.5 kg (1 lb) in 1 day is caused by the accumulation of fluid. The nurse should assess urine
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- Spring '14