A 5-year-old child with a history of congestive heart failure (CHF) is brought to the clinic for a routine check-up. Which assessment findings would indicate worsening CHF?Select all that apply.

A. Weight gain of 2 pounds in one week

B. Persistent cough

C. Increased sweating during activities

D. Blood pressure within normal range

E. Decreased appetite

________________________________________________

Answer:A. Weight gain of 2 pounds in one week - Correct. Sudden weight gain can indicate fluid retention, which is a common sign of worsening heart failure.

B. Persistent cough - Correct. A persistent cough, especially one that is worse at night or associated with wheezing, can be a sign of pulmonary congestion due to CHF.

C. Increased sweating during activities - Correct. Increased sweating (diaphoresis), especially during minimal activities or even at rest, can indicate that the heart is working harder to pump blood.

D. Blood pressure within normal range - Incorrect. Normal blood pressure does not indicate worsening CHF. Blood pressure might remain normal even if CHF is worsening, especially in compensated cases.

E. Decreased appetite - Correct. Decreased appetite or poor feeding is a common symptom in children with worsening CHF, as the body diverts energy away from the digestive system to support cardiac function.

Correct answers: A. Weight gain of 2 pounds in one week, B. Persistent cough, C. Increased sweating during activities, E. Decreased appetite

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