Which Assessment Finding in a Patient Admitted with Acute Decompensated

question 24

Multiple Choice

Which assessment finding in a patient admitted with acute decompensated heart failure (ADHF) requires the most immediate action by the nurse?

• A) Oxygen saturation of 88%
• B) Weight gain of 1 kg (2.2 lb)
• C) Heart rate of 106 beats/minute
• D) Urine output of 50 mL over 2 hours

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Definitions:

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A retired Associate Justice of the Supreme Court of the United States, known for his moderate to liberal viewpoints during his tenure from 1990 to 2009.