Which of the following assessments indicates that the parents of a child are following prescribed treatment for congestive heart failure (CHF)?

The indication that parents are following prescribed treatment for congestive heart failure (CHF) in a child is reflected in maintaining the child's growth parameters, specifically achieving the 50th percentile height and weight for age. In children with CHF, it is common for growth to be impaired due to the increased metabolic demands of the heart failure condition and potential nutritional deficiencies.

When children maintain growth within the expected range for their age, as indicated by being at the 50th percentile for height and weight, it suggests that the parents are likely adhering to recommendations regarding nutrition, medication, and overall care management. This adherence supports appropriate caloric intake and helps ensure that the child is not experiencing significant fluid retention or other complications associated with untreated CHF.

Other assessments mentioned, such as a heart rate of 56 beats per minute, may indicate bradycardia, which could signify poor response to treatment or worsening heart function. Elevated red blood cell count could reflect a compensatory mechanism in chronic hypoxia but is not a direct indicator of effective CHF management. Urine output of 0.5 cc/kg/hr suggests inadequate renal perfusion or fluid retention, which may indicate a significant issue in CHF management. Thus, achieving growth milestones is a positive sign that management is being