Physiological IntegrityQuestion 61 of 120
The LPN/LVN is collecting data on a client with heart failure. Which finding should be reported to the RN promptly?
a.Sudden weight gain of 3 pounds overnight
b.Blood pressure of 122/78 mmHg
c.Clear lung sounds bilaterally
d.Heart rate of 76 beats per minute
Explanation
A sudden weight gain suggests fluid retention and worsening heart failure and should be reported. Normal blood pressure, clear lungs, and a normal heart rate are reassuring. Daily weights are a key monitoring tool in heart failure.
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