Which Assessment Finding in a Patient Admitted with Acute Decompensated

question 9

Multiple Choice

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

• A)O2 saturation of 88%
• B)Weight gain of 1 kg (2.2 lb)
• C)Heart rate of 106 beats/min
• D)Urine output of 50 mL over 2 hours

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