Difficulty: Medium
Average Score: 95%
Simulated
The nurse is performing an admission assessment of an older adult client with a history of chronic heart failure. The client exhibits +2 pitting edema of the ankles and bibasilar crackles. Based on these findings what action should the nurse take next?
Correct answer
A
Rationale
Weighing the client establishes a baseline to monitor fluid retention, critical in heart failure management.