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:

Conditional Surety

A surety agreement where the guarantor's obligations are triggered by the occurrence of specific conditions.

Absolute Surety

A guarantee without conditions or limitations, ensuring complete assurance or certainty.

Subrogee

A party that assumes the legal rights of another (the subrogor) to make claims or enforce rights, typically in insurance cases.

Financing Statement

A document filed to give public notice that a lender has a security interest in a borrower's personal property.