NBCSN Nationally Certified School Nurse Practice Exam

What is a serious risk in children showing signs of CHF?

1. Falling asleep during activities

2. Loss of appetite

3. Lack of concentration

4. Frequent crying spells

The correct answer is: Loss of appetite

Loss of appetite is a significant concern in children exhibiting signs of congestive heart failure (CHF) because it can indicate that the child isn't getting enough nutrition to support their overall health and growth. When the heart struggles to pump blood effectively, it can lead to various symptoms, including fatigue and gastrointestinal issues. This may decrease the child's desire to eat, which can further exacerbate their condition by reducing their energy levels and impairing proper development. In CHF, poor blood circulation can impede proper digestion, leading to symptoms such as nausea or a full sensation that deters eating. This could also contribute to weight loss, which is particularly troubling in a growing child. Addressing this symptom is crucial, as maintaining adequate nutrition is essential for managing CHF and preventing further complications. While the other options present symptoms that could also relate to CHF, such as falling asleep during activities, lack of concentration, and frequent crying spells, they are often secondary to the primary concern of nutrition and adequate caloric intake that loss of appetite represents. Recognizing and responding to a child's change in eating habits can help in the early identification and management of CHF and its effects on their health.