Question: FLAG A nurse is providing discharge teaching to a client who has heart failure. The nurse should instruct the client to report which of the

FLAG A nurse is providing discharge teaching to a
FLAG A nurse is providing discharge teaching to a client who has heart failure. The nurse should instruct the client to report which of the following findings immediately to the provider? Weight gain of 0.9 kg (2 lb) in 24 hr CORRECT My Answer When using the urgent vs. nonurgent approach to client care, the nurse should determine that the priority finding is a weight gain of 0.5 to 0.9 kg (1.1 to 2 1b) in 1 day. This weight gain is an indication of fluid retention resulting from worsening heart failure. The client should report this finding immediately. O Increase of 10 mm Hg in systolic blood pressure INCORRECT An increase of 10 mm Hg in systolic blood pressure is a nonurgent finding. Although the client should report the increase in blood pressure, there is another finding the client should report immediately. O Dyspnea with exertion INCORRECT Dyspnea with exertion is a nonurgent finding that is expected for a client who has heart failure. Although the client should report it, there is another finding the client should report immediately. Dizziness when rising quickly

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