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NCLEX Question of the Day
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A nurse is caring for a client with a history of heart failure who is experiencing an exacerbation. Which of the following assessment findings would be most concerning?
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Correct answer Crackles throughout the lung fields
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Shortness of breath on exertion
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Peripheral edema
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Weight gain of 1 pound over the past week
Rationale
Crackles throughout the lung fields indicate fluid overload and pulmonary edema, which is a serious and potentially life-threatening complication of heart failure exacerbation. The other findings are also concerning but are more chronic issues associated with heart failure.
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