Which Assessment Finding in a Patient Admitted with Acute Decompensated

question 22

Multiple Choice

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

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

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