ATI RN
ATI Nur 221 Med Surg Exam Cardiac Questions
Extract:
Question 1 of 5
A client with a history of heart failure on daily weights has a 2-pound weight gain and pitting edema in bilateral lower extremities. Which action should the nurse take next?
Correct Answer: C
Rationale: Performing a head-to-toe assessment, including vital signs, is correct. A 2-pound weight gain and edema suggest fluid retention, requiring assessment for worsening heart failure symptoms like crackles or respiratory distress. Encouraging fluid intake, monitoring without action, or checking code status are not immediate priorities.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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