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:

Strengthens

Refers to making something stronger or more effective.

Structure

The arrangement or organization of parts to form a complex entity, observable in architecture, molecules, and living organisms.

Organic Molecules

Chemical compounds of carbon, often containing hydrogen, oxygen, nitrogen, and other elements, which are found in or produced by living organisms.

Secondary Structure

The level of protein structure characterized by the formation of alpha helices and beta-pleated sheets held together by hydrogen bonding.