A Nurse Is Assessing a Newly Admitted Patient with Chronic

question 13

Multiple Choice

A nurse is assessing a newly admitted patient with chronic heart failure who forgot to take prescribed medications and seems confused.The patient complains of "just blowing up" and has peripheral edema and shortness of breath.Which assessment should the nurse complete first?

• A) Skin turgor
• B) Heart sounds
• C) Mental status
• D) Capillary refill

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Definitions:

Flow State

A psychological condition where an individual completely engages in an activity with intense concentration, complete participation, and pleasure.

Explicit Motives

Explicit motives are conscious or verbalized goals that drive an individual's actions towards achieving specific outcomes.

Love And Belonging

A fundamental human need to form and maintain intimate relationships, feel part of a group, and be accepted by others.

Affiliation

The state or process of affiliating or being affiliated with a larger organization, group, or ideology.