CNA Medical-Surgical LPN (MSPNC(C)) Practice Questions - CNA Medical-Surgical Practical Nursing Certification (MSPNC(C)) Exam

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The LPN is monitoring a client admitted with acute decompensated heart failure. Which assessment finding is the most reliable indicator of fluid retention and dictates a need to notify the healthcare provider?

An increase in body weight of 1.5 kg (3.3 lbs) over a 24-hour period. The presence of 1+ pitting edema in both ankles at the end of the day. A complaints of mild fatigue when walking to the bathroom. A blood pressure reading of 138/86 mmHg, which is unchanged from baseline.

Correct Answer:

An increase in body weight of 1.5 kg (3.3 lbs) over a 24-hour period.

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