Difficulty: Medium
Average Score: 62%
Simulated
The nurse is caring for a toddler with a cardiac defect who has had several episodes of congestive heart failure in the past few months. Which data would be the most useful to the nurse in assessing the child's current congestive heart failure?
Correct answer
C
Rationale
Recent weight fluctuations are the most reliable indicator of fluid retention or loss in congestive heart failure.